Re: [ozmidwifery] Any volunteers for a survey?
What is the survey for?? Di - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 20, 2007 9:24 PM Subject: Re: [ozmidwifery] Any volunteers for a survey? I'm up for it Sam, will email you off list. Lisa Barrett - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, March 20, 2007 9:19 PM Subject: [ozmidwifery] Any volunteers for a survey? Hi Listers, Are there any midwives on the list who could spare 15 mins-1/2 hour to fill out a survey on issues affecting midwives today? We can do it via email or phone, I don't mind. My email is spahl at pobox dot une dot edu dot au Cheers, Sam. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 2080 (20070225) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Folic acid article
And all our nutrients come from a pill Di - Original Message - From: Helen and Graham To: ozmidwifery Sent: Wednesday, January 24, 2007 7:23 PM Subject: [ozmidwifery] Folic acid article Pregnant women urged to check folic acid dosage http://www.abc.net.au/news/newsitems/200701/s1832921.htm New Australian research has found that most pregnant women are not taking enough folic acid, leaving their unborn babies at risk of spinal cord defects. The study has found only 30 per cent of pregnant women are having adequate folic acid. Health authorities recommended women consume 400 micrograms of folic acid per day in the lead-up to conception and in the first three months of pregnancy. Professor Alaistair McLennan from the University of Adelaide says some brands of supplements do not contain the recommended dose. He says women need to be aware they may not be adequately protecting their baby. Australian food authorities are currently considering whether to add folate to bread and flour. __ NOD32 2001 (20070124) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] Mum Gives Birth In Toilet - Monash Medical Centre
The thought of birthing without help is terrifying for most people. They must have been so frightened. I agree that it is not satisfactory to have almost no care from a midwife and that most of us would agree that a woman in heavy labour should have one on one care and not be left alone. Of course as recognised, the story may not reflect the whole picture. Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 24, 2007 6:32 PM Subject: RE: [ozmidwifery] Mum Gives Birth In Toilet - Monash Medical Centre What I wonderful way to have a baby no intervention or medicalization of a natural process. The woman wants to be congratulated for that. A very rare way to have a baby nowdays unless you have the baby at home. As a student I was privy to this type of birth only once and although it was fast it was great. Regards sharon -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nikki Macfarlane Sent: Wednesday, 24 January 2007 6:16 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Mum Gives Birth In Toilet - Monash Medical Centre You know what, I have a different take on this. If the newspaper article has reported accurately what the parents said (and I highly doubt they have, but for the sake of argument lets give themt he benefit of the doubt!), there are some serious failings of expectations here and little empathy going on from the medical staff. The mother was rushed to hospital by ambulance and arrived in the later stages of labor - this in itself appeared to be distressing for her as it appeared she was taken by surprise by the speed with which labor was progressing. So, now having arrived in advanced labor, she is not checked as she expects to be and does not appear to have a midwife in the room with her. Now that may be because she does not appear to be in strong labour, or that there is no midwife available. But from the mother's perspective, it is not what she expects. She feels out of control, in intense pain, and not receiving the level of hospital support she is expecting. She could have called for help and support or asked her husband to go and find a midwife. But her expectations were not being met. And it is a pretty reasonable expectation to have a midwife at the very least to reassure a mother who feels she is in strong labor, and realistically to be checking or staying by her side if she appears to be imminently birthing. At the point at which the baby is born, both parents describe themselves as frantic. This was not the experience they were hoping for. Yes, she did it without pain medication or any intervention. Yes, this is what many women aspire to. Yes, this is better for baby and mother healthwise in most circumstances. However, the mother felt unsupported, and the father felt panicky. And the hospital's response? We are as disappointed as Kay and Michael that the birth of their second child did not go according to plan, but babies have a mind of their own sometimes. Really? What a leap! To make the assumption that the midwives feel the same degree of disappointment as the parents. Yes, babies do sometimes come quicker than anticipated. What would have been nice is for this mum and dad to have been heard and had their sense of distress and lack of support acknowledged. Whether the midwives felt justified in their actions or not, the parents still felt the way they did. The mum was in the hospital for at least an hour and appeared to have no midwifery support during that time. I get that there may have been none available. But to dismiss the whole affair with a patronising comment about how the midwives are just as upset as the parents is hardly effective communication and certainly not displaying good listening skills towards the parents. Now of course, the whole newspaper article may be complete tosh and the parents/midwives may not have said anything that was attributed to them in the quotes. Always a shame that such stories are not seen as an opportunity to talk about how incredible our bodies are or how tragic it is that the health system the world over is failing women because of shortages of experienced midwives, or a multitude of other approaches that would be more beneficial towards women and babies. Nikki Macfarlane Childbirth International __ NOD32 2001 (20070124) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.8/649 - Release Date: 23/01/2007 8:40 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.8/649 -
Re: [ozmidwifery] co-sleeping
I found this one too... http://www.babybunk.com/whatis.htm Di - Original Message - From: Kristi Kemp [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 1:39 PM Subject: RE: [ozmidwifery] co-sleeping Hi Raelene, Here are just a few websites I found re: co-sleeping cots...hope this helps! http://www.babydelight.com/snuggle_nest.html - The Snuggle Nest http://armsreach.com/ - Bassinettes that attach to the side of the bed for baby http://www.thefirstyears.com - On this page, go down to the 'Safe Secure Sleeper' to see another version of the Snuggle Nest http://www.babybunk.com/ More bassinettes that attach to the side of the bed All the best, Kristi Midwifery student, Canada -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of George, Raelene Sent: January 21, 2007 9:55 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] co-sleeping Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1995 (20070121) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] co-sleeping
Here is a link to the sample policy from the UK http://www.babyfriendly.org.uk/pdfs/bedsharingpolicy.pdf Cheers, Di - Original Message - From: George, Raelene [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 12:54 PM Subject: [ozmidwifery] co-sleeping Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1995 (20070121) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] co-sleeping
What about this one designed for hospital beds http://www.bristolmaid.com/prodtype.asp?PT_ID=s200strPageHistory=cat cheers Di - Original Message - From: George, Raelene [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 12:54 PM Subject: [ozmidwifery] co-sleeping Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1995 (20070121) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] How do you deal with your frustrations?
Hi Melissa I completed the Diploma of Professional Counselling 12 years ago and if you are intending to go into the Childbirth Education area I'm not sure that this would be an asset unless you intend doing counselling as well. I work one on one with clients also. It's a 16 module course that would take at least a year to complete if not longer if you having little ones to take care of. It also requires that you attend a certain amount of lectures. The counselling Diploma was good but I found it a little old fashioned with what society requires today. Mind you it is a while since I did mine and they may have updated it. I was doing NLP at the same time and found that to be much more user friendly so I needed to wear 2 hats at the same time. I have since continued with more NLP qualifications. I also completed the calmbirth, Hypnobirthing Practitioner and Doula trainings. All very good. As Melissa has said Cert IV is a good one to have especially if you are eventually asked to lecture. My belief would be to investigate courses that are specific to birthing. Andrea's training sounds just what you seem to be looking for and it would be well researched and worth the wait to do it. You need to ask yourself in what area would you like to work and target courses or qualifications specific to that. I'm happy to chat further if you would like to email me off list or call. warm regards Diane Gardner [EMAIL PROTECTED] 03 9432 0436 0409 016695 - Original Message - From: Melissa To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 2:54 PM Subject: RE: [ozmidwifery] How do you deal with your frustrations? You could learn pregnancy massage and some of the natural therapies. Try the Australian College of Natural Therapies. Or a counselling degree / diploma - this complements midwifery very nicely. Try the Australian Institute of Professional Counsellors - I know they run a distance education course. A certificate IV in work place assessment and training is always handy to have. Melissa Maimann Essential Birth Consulting Email: [EMAIL PROTECTED] Mobile: 0400 418 448 From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dan Rachael Austin Sent: Thursday 11 January 2007 15:34 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] How do you deal with your fustrations? I'm emailing again because I don't think the email I wrote yesterday went through? At least I didn't get it on my computer. To help me deal with my frustrations, so to speak, I am contemplating doing some more study so that I can do some independent antenatal education. I would love some advice and guidance from the wise ladies/men on this list please. A bit of history about me. I live rurally and have a 6 week oldbaby and a 3y.o, and I am tandem breastfeeding them. I would prefer something that I could study from home, but am prepared to travel if necessary. I have found these courses, but would like to know what else is available, so that I can enrol in the best or most suitable course for me at this stage in my life. As far as I'm aware there is no one who does independent childbirth education in any form in this district or surrounding districts, so I'd have potential to start a business, at least one that is child friendly and I can pick and choose my own hours..oh and no one staff politics!. Like many of you have said working in a hospital setting no longer appeals to me whatsoever. I'd love to work with a MIPP to gain experience as I've only not long graduated my GD of midwifery, but there is no one around this area as I said before., so to make the most of my suitation i think this is a good idea...So tell me what courses are there avaibable, what courses/studies have you done? These are the ones I've looked into. Graduate Diploma in Childbirth Education (not available as far as I'm aware) Master of Midwifery. Hypnobirthing Practitioner training Calmbirthing practitioner training ICEA: CBE course Bradely Method ABA community educator course IBLCE lactaion course Natural Birth Education Research Center: G.D (or G.C) of natural birth Infant Massage Instructor training Over time I would love to do a number of these to cater to the wide and varying needs of childbearing women and their families. But for now, I'd love to hear some advice and recommendations from you! PLEASE!! TIA, Rachael __ NOD32 1.1725 (20060825) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] Fish oils and postdates
This list is brilliant! I love that you can pose a qustion like this and someone will have the time to investigate or already know! Hi Tiff!! Cheers, Di - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 6:34 PM Subject: RE: [ozmidwifery] Fish oils and postdates Fish Oil in Various Doses or Flax Oil in Pregnancy and Timing of Spontaneous Delivery: A Randomized Controlled Trial [Obstetrics: Preconception and Prenatal Care] Knudsen, V K.; Hansen, H S.; Østerdal, M L.; Mikkelsen, T B.; Mu, H; Olsen, S F. Maternal Nutrition Group, Department of Epidemiology Research, Statens Serum Institut, Copenhagen S, Denmark; the Department of Pharmacology, Danish University of Pharmaceutical Sciences, Copenhagen, Denmark; and the Biochemistry and Nutrition Group, BioCentrum-DTU, Technical University of Denmark, Lyngby, Denmark BJOG 2006;113:536-543 ABSTRACT Previous studies have suggested that a diet containing long-chain n-3 fatty acids derived from fish oil may delay spontaneous delivery. The investigators, in a randomized, controlled trial, addressed this hypothesis and also sought to determine whether alpha-linolenic acid (ALA), in the form of flax oil capsules, might have the same effect. Participants were 3098 women who reported a low intake of fish and who were randomized to receive one of 5 doses (0.1, 0.3, 0.7, 1.4, or 2.8 g) of eicosapentaenoic acid and docosahexaenoic acid daily, 2.2 g daily of ALA, or no treatment. Supplementation began at 17 to 27 weeks gestation and continued until delivery. The treatment groups were similar with respect to age, parity, gestational age, fish consumption, body mass index, and smoking. Analyzing singleton live-born pregnancies, no significant difference in gestational length was found between control women and any of the treatment groups whether comparing mean gestational ages or hazard rates of spontaneous delivery. This held for both intention-to-treat analyses and analyses based on the participants only. There were no apparent differences in intake of any of the fatty acids between the treatment groups. The difference in time to spontaneous delivery between pregnant women given the highest dose of fish oil and control women was less than 1 day. A majority of women in the treatment groups failed to continue taking their capsules up to the time of delivery. These findings may indicate that there is in fact no meaningful effect of dietary n-3 fatty acids on the timing of spontaneous delivery. It also is possible that there is a rapidly diminishing effect that depends on continued supplementation. -- EDITORIAL COMMENT (For some time, there has been interest in the potential for the n-3, or omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), to prolong gestation and/or prevent preterm birth. Marine foods are a rich source of both EPA and DHA, and Olsen and his colleagues observed that birth weight and gestational age was higher in the Faroe Islands, which are between Norway and Iceland and where the rate of consumption of marine food is very high, than in Denmark, where it is lower (J Epidemiol Community Health 1985;39:27). Pregnant Faroese women had higher omega-3/omega-6 erythrocyte ratios, and among Danish women, an increased ratio was associated with longer gestation (Olsen SF, et al. Am J Obstet Gynecol 1991;164:1203). This association is plausible. As opposed to omega-6 fatty acids, which are proinflammatory, omega-3 fatty acids are antiinflammatory and suppress the production of inflammatory cytokines and prostaglandins E and F. Thus, the overall intake of omega-3 fatty acids, and the proportion of omega-3 to omega-6 fatty acids in the diet and in various tissue compartments, might influence the onset of parturition. However, the observational data to support that dietary omega-3 intake influences the length of gestation is not all one-sided, because there are studies that report no association (eg, Oken E, et al. Am J Epidemiol 2004;160:774). Whether omega-3 supplementation can prolong gestation or prevent preterm birth has also been the subject of a fair number of randomized studies. The first was conducted in 1938 and 1939 and reanalyzed with an eye to gestational length some 50 years later (Olsen SF, Secher NJ. Br J Nutr 1990;64:599). In this trial, over 5500 pregnant women were randomly allocated to daily supplementation with halibut oil, vitamins, and minerals or to no supplementation. Women allocated to supplementation were 20% less likely to deliver before 40 weeks, but no information was available on preterm delivery, and neither infant birth weights nor perinatal mortality differed between groups. The strongest experimental support for the prevention of preterm birth with
Re: [ozmidwifery] Birthskills workshops?
Yes I guess many of the inovators of our time and past were odd bods as you say but maybe their minds were so entrenched in the technical fields they are in that social skills were not a priority. Lovely to hear that you met him though. His concepts have cetainly changed the way many of us think abour birth preparation and heaven knows in the medical times we are in now that has to be a big plus. warm regards Di Gardner - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 7:19 PM Subject: RE: [ozmidwifery] Birthskills workshops? Thanks for that Diane, I’ve just been reading on her website and got the gist of the programme, have met GDR myself, bit of an odd bod, but like his thought processes on pain and fear… Tania x -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Monday, 15 January 2007 6:12 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Birthskills workshops? Hi Tania Calmbirth, HypnoBirthing and Birth Skills are all very similar programs. Shari was a HypnoBirthing Practitioner who like many of us wanted to create the Aussie program so calmbirth and Birth Skills were born. All have the same really good underpinnings of Grantly Dick Read. warm regards Diane Gardner - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 3:06 PM Subject: [ozmidwifery] Birthskills workshops? Hi everyone, Just wondering if anyone has attended Shari Read’s Birthskills workshops? I’ve just spoken to two women who went, and both were pretty impressed, but I’m wondering from a midwives perspective whether they would be beneficial? Any ideas or comments? Tania x -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007
Re: [ozmidwifery] Birthskills workshops?
Hi Tania Calmbirth, HypnoBirthing and Birth Skills are all very similar programs. Shari was a HypnoBirthing Practitioner who like many of us wanted to create the Aussie program so calmbirth and Birth Skills were born. All have the same really good underpinnings of Grantly Dick Read. warm regards Diane Gardner - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 3:06 PM Subject: [ozmidwifery] Birthskills workshops? Hi everyone, Just wondering if anyone has attended Shari Read’s Birthskills workshops? I’ve just spoken to two women who went, and both were pretty impressed, but I’m wondering from a midwives perspective whether they would be beneficial? Any ideas or comments? Tania x -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007
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 __ NOD32 1970 (20070110) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] job
What about Mareeba or Cairns? Not Mackay though, the job there is mine (as soon as I get through the interview!! LOL). Although only 20m from the hospital, it is very woman centred care, but true , there are some limitations where the medical model impinges on care, but not much and usually only when there is reason for referal or transfer of care. The docs dont like letting go of that 36wk visit here though, even for 'normal' women. Di - Original Message - From: Anke Dalman To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 9:25 PM Subject: RE: [ozmidwifery] job Hi Di, The birth centre is only a dream at this point and when I see how fast they work here it might be another 1 or 2 years until it's up and running, and then it will still be running under the medical model, since it is on hospital grounds. I don't think that it will be run as a true midwifery model. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, 11 January 2007 8:56 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] job I suppose the birth centre in Townsville has staff picked already ? Di __ NOD32 1971 (20070110) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] job
Hi Philippa, Let us know if we can do anything to help. The Mackay BC is having its 12th birthday this year! Wow , hope of a IPM then she is gone, what a shame for T'ville. cheers, Di - Original Message - From: Philippa Scott To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 10:39 PM Subject: RE: [ozmidwifery] job Oh Anke I will do my best to see that that is not the case. I have not put 2.5years into this project to see it turn into something that I hate. I wont let them take it away from the people who it is for. The will have a big fight on their hands if they do. Our first meeting later this month re the BC should be with me only days of having this baby. I will try to look very big and scary. Oh I am all riled up now! Breathe - Breathe LOL Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anke Dalman Sent: Thursday, 11 January 2007 9:25 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] job Hi Di, The birth centre is only a dream at this point and when I see how fast they work here it might be another 1 or 2 years until it's up and running, and then it will still be running under the medical model, since it is on hospital grounds. I don't think that it will be run as a true midwifery model. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, 11 January 2007 8:56 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] job I suppose the birth centre in Townsville has staff picked already ? Di __ NOD32 1971 (20070110) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] where has this list gone?
My New years resolution is to beat my internet addiction and find more time in my life, Im still reading but not adding much!! Cheers, Di - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 07, 2007 6:29 PM Subject: [ozmidwifery] where has this list gone? Hi, after being on this list for a long, long, time i just have to ask: where has this list gone to? it used to be fully midwifery - issues, questions, politics - to inform , incite, advocate - for better maternity care systems across australia - for all women. sure, i've been studying and not contributing like i used to, but there has hardly been a day where i haven't checked my ozmid email. and now - can i say - it's boring- it's tame - very little new information - my recent questions about mental health and women giving birth - so few responses - why- 10% of the population have mental health issues - how do we as midwives deal with them - who knows cos only a few have answered? and how do we as midwives create change? by 'eating' each other, by gossiping about each other or back-biting - or by sharing/respecting/acknowledging our differences? hey, to each and everyone of you 'lurking' out there, let's have some dialogue. what do you think about me attending women who are medicated for mental health issues? what do you think about homebirths for breech babies? for twins? what do you think about independent homebirth midwives working alone? where's the thinking gone? where's the dialogue? i so miss it sue cookson -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1959 (20070105) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] How do you deal with your fustrations?
Big question with lots of history based in patriarchy, science and politics and big business. It takes time to change a culture of people who saw doctors as the saviours they were and can still be, and who have been socialised to see doctor as god. The thought they they may be wrong just doesnt enter the heads of some people. Ask your older relatives and friends why they are taking a certain medication... most just dont know. If its 'science' then it must be good and right in the eyes of most people in many cultures. It is indeed frustrating, women gave up breastfeeding because of the same 'science'! The good news is that there are pockets of resistance, women who have been encouraged through their lives to be enquiring, and knowledgable, and many of us have daughters, granddaughters and neices that we may be able to encourage the same way. Cheers, Di (not quite beating that addiction yet! Must go rest, on call tonight, might read just one more.) - Original Message - From: Dan Rachael Austin [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 08, 2007 9:19 AM 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'm a midwife (new at the game, but still), so maybe the extra knowledge helped me to make 'good' or appropriate choices for me, but what stops women from investigating choices for themselves? Why do they so blindly give themselves to medical men in every sense of the word? Do women really believe that they don't have the power to birth themselves and that they really need help? Do they really think nature got it that wrong? AHH!! How do you get 'over it'? How do you talk with these women about birth in social conversatin without lecturing them? Hope this makes sense.. i'm tired! -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1960 (20070106) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Urgent advice please
Hi Kat Not sure is she does or not. I would assume travelling pregnant that she would. Because this woman is a client of the person I know I'm not sure of the finer details but I will ask. regards Di Gardner - Original Message - From: katnap076 [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 10:25 PM Subject: Re: [ozmidwifery] Urgent advice please Hi, Does she have travel insurance? what would that cover if she did ?? Kat - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 5:48 PM Subject: Re: [ozmidwifery] Urgent advice please Hi Di, If she is a UK residint then there is a reciprocal agreement (as far as I know) between the UK and Australaia that allows UK residents free access to Medicare and Australians free access to the NHS. So, if this is the case, then it would seem she is entitled to have midwifery care, if she can find it. If she is visiting in North Sydney, why not send her to Ryde? I know that at the present time women booked there are having to give birth in North Shore, but at least she would have her own midwife with her. If she is too late to book in with the Ryde team, they may be able to suggest some alternatives that are woman friendly. Or Hosrnby might be a possibility - it is not very far from North Sydney. Worth a try? Cheers Andrea At 02:58 PM 23/12/2006, you wrote: Hi Cath She is visiting in North Sydney but is actually a UK resident not a US resident. I suppose that doesn't make a difference anyway. I will pass on your comments to her midwife who will let her know. How sad that she may be faced with having her baby here rather than with her family. Thanks for your reply. Di Gardner - Original Message - From: mailto:[EMAIL PROTECTED]A C Palmer To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 9:22 AM Subject: RE: [ozmidwifery] Urgent advice please Where is she in NSW, Australia? It may be difficult for her to gain midwife led care as a non-resident of Australia because she has private health cover and she would need to follow the private health lines. I have US friends living here, who have wanted midwife care and the only Sydney metro hospital to accept them was Hornsby. They wanted to be cared for by midwives even though they are classified as private. Every other hospital they approached insisted on an Obs caring for them. Hornsby have agreed to providing midwifery team care and the hosp will charge the US health fund at the end of all the care. This may not be helpful in finding appropriate care for this lady right now, but she may encounter some difficulties from a non-resident point of view. Cath Palmer -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Saturday, December 23, 2006 6:55 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Urgent advice please I received this from a friend in the USA and would appreciate any midwives in NSW to reply. I have just been contacted by a client who is 32 weeks pregnant (I am also her midwife) She is on holiday in Australia and has just discovered she has a grade 2 placenta previa following a bleed. Not a great situation to be in! I don't know the system in Australia (NSW) but she has received some pretty rough care and advice so far and has been told she will need a c-section. I gather that NSW is pretty litigernous from her but don't know what to advise her re best place to go etc. Are there any midwives /health proffesionals that can advise her in Australia? In appreciation. Thankyou in advance for any replies. regards Di Gardner -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/598 - Release Date: 22/12/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/598 - Release Date: 22/12/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Urgent advice please
Hi Andrea Thanks I will pass it along. I'm sure she is now feeling that people really do care. I will let you all know the outcome if I hear before we leave for our holidays tomorrow. regards Di Gardner - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 5:48 PM Subject: Re: [ozmidwifery] Urgent advice please Hi Di, If she is a UK residint then there is a reciprocal agreement (as far as I know) between the UK and Australaia that allows UK residents free access to Medicare and Australians free access to the NHS. So, if this is the case, then it would seem she is entitled to have midwifery care, if she can find it. If she is visiting in North Sydney, why not send her to Ryde? I know that at the present time women booked there are having to give birth in North Shore, but at least she would have her own midwife with her. If she is too late to book in with the Ryde team, they may be able to suggest some alternatives that are woman friendly. Or Hosrnby might be a possibility - it is not very far from North Sydney. Worth a try? Cheers Andrea At 02:58 PM 23/12/2006, you wrote: Hi Cath She is visiting in North Sydney but is actually a UK resident not a US resident. I suppose that doesn't make a difference anyway. I will pass on your comments to her midwife who will let her know. How sad that she may be faced with having her baby here rather than with her family. Thanks for your reply. Di Gardner - Original Message - From: mailto:[EMAIL PROTECTED]A C Palmer To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 9:22 AM Subject: RE: [ozmidwifery] Urgent advice please Where is she in NSW, Australia? It may be difficult for her to gain midwife led care as a non-resident of Australia because she has private health cover and she would need to follow the private health lines. I have US friends living here, who have wanted midwife care and the only Sydney metro hospital to accept them was Hornsby. They wanted to be cared for by midwives even though they are classified as private. Every other hospital they approached insisted on an Obs caring for them. Hornsby have agreed to providing midwifery team care and the hosp will charge the US health fund at the end of all the care. This may not be helpful in finding appropriate care for this lady right now, but she may encounter some difficulties from a non-resident point of view. Cath Palmer -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Saturday, December 23, 2006 6:55 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Urgent advice please I received this from a friend in the USA and would appreciate any midwives in NSW to reply. I have just been contacted by a client who is 32 weeks pregnant (I am also her midwife) She is on holiday in Australia and has just discovered she has a grade 2 placenta previa following a bleed. Not a great situation to be in! I don't know the system in Australia (NSW) but she has received some pretty rough care and advice so far and has been told she will need a c-section. I gather that NSW is pretty litigernous from her but don't know what to advise her re best place to go etc. Are there any midwives /health proffesionals that can advise her in Australia? In appreciation. Thankyou in advance for any replies. regards Di Gardner -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Urgent advice please
I received this from a friend in the USA and would appreciate any midwives in NSW to reply. I have just been contacted by a client who is 32 weeks pregnant (I am also her midwife) She is on holiday in Australia and has just discovered she has a grade 2 placenta previa following a bleed. Not a great situation to be in! I don't know the system in Australia (NSW) but she has received some pretty rough care and advice so far and has been told she will need a c-section. I gather that NSW is pretty litigernous from her but don't know what to advise her re best place to go etc. Are there any midwives /health proffesionals that can advise her in Australia? In appreciation. Thankyou in advance for any replies. regards Di Gardner
Re: [ozmidwifery] Urgent advice please
Hi Cath She is visiting in North Sydney but is actually a UK resident not a US resident. I suppose that doesn't make a difference anyway. I will pass on your comments to her midwife who will let her know. How sad that she may be faced with having her baby here rather than with her family. Thanks for your reply. Di Gardner - Original Message - From: A C Palmer To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 9:22 AM Subject: RE: [ozmidwifery] Urgent advice please Where is she in NSW, Australia? It may be difficult for her to gain midwife led care as a non-resident of Australia because she has private health cover and she would need to follow the private health lines. I have US friends living here, who have wanted midwife care and the only Sydney metro hospital to accept them was Hornsby. They wanted to be cared for by midwives even though they are classified as private. Every other hospital they approached insisted on an Obs caring for them. Hornsby have agreed to providing midwifery team care and the hosp will charge the US health fund at the end of all the care. This may not be helpful in finding appropriate care for this lady right now, but she may encounter some difficulties from a non-resident point of view. Cath Palmer -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Saturday, December 23, 2006 6:55 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Urgent advice please I received this from a friend in the USA and would appreciate any midwives in NSW to reply. I have just been contacted by a client who is 32 weeks pregnant (I am also her midwife) She is on holiday in Australia and has just discovered she has a grade 2 placenta previa following a bleed. Not a great situation to be in! I don't know the system in Australia (NSW) but she has received some pretty rough care and advice so far and has been told she will need a c-section. I gather that NSW is pretty litigernous from her but don't know what to advise her re best place to go etc. Are there any midwives /health proffesionals that can advise her in Australia? In appreciation. Thankyou in advance for any replies. regards Di Gardner
Re: [ozmidwifery] Urgent advice please
Thankyou to all you godesses for your wisdom. I really appreciate it and have passed all replies on. regards Di Gardner
Re: [ozmidwifery] Vaginal Breech Birth - Names Please...
Ask the woman to talk to her baby while laying head down on an ironing board that is leaning against the couch. Baby needs to know that there is a better way out and that she needs to uncross her feet and turn around. If she really relaxes her uterus that gives baby more room to move as well. Have her partner talk to the baby as well give it instructions on turning around. Many of you may laugh but there is a huge success rate talking to babies inutero. I know when I have turned (actually the babies do the turning) breech babies using hypnosis (simply relaxation of the body and no who-do-do-do) that the babies respond with arms and feet bulges everywhere as they are on the move, quite a funny sight. The babies are listening so ONLY positive talking and positive birth stories. Ask her not to listen to the war stories out there as they often create fear and tension in the mum and the bub. regards Di Gardner - Original Message - From: Kelly Zantey To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 4:16 PM Subject: RE: [ozmidwifery] Vaginal Breech Birth - Names Please... OK, now I have a question for you - breech and talipes. A woman has just said this: Scan came back all fine, but bubs feet are in the birth canal area and as she has talipes they think with her feet being crossed over she may have trouble moving them out of where they are. We'll just have to wait a few weeks and see. Any suggestions/comments I can pass on? Best Regards, Kelly Zantey Creator, BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly Zantey Sent: Friday, December 22, 2006 3:12 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Vaginal Breech Birth - Names Please... Thank-you! And thanks to everyone in advance, I won't reply individually to everyone on the list to save clogging up emails, I will reply privately. http://www.bellybelly.com.au/articles/birth/breech-birth-in-australia - I shall have something up soon, its not live yet, creating it now. Best Regards, Kelly Zantey -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dan Rachael Austin Sent: Friday, December 22, 2006 2:52 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Vaginal Breech Birth - Names Please... Ian Etherington OB/Gyn works out of the Mater Hospital in Rockhampton and will support (even encourage) women to birth breech, so long as it isn't a footling. Merry Christmas, Rachael - Original Message - From: Kelly Zantey To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 10:48 AM Subject: [ozmidwifery] Vaginal Breech Birth - Names Please... I am compiling a list of Obs/carers who will support a woman for vaginal breech birth as I am seeing more breech women pop up and think they have no choice, booked in for caesars at 37-38wks. So if I can at least help them find a supportive carer, it makes it a heck of a lot easier to accept other info ;) So if you can please let me know if you have names of anyone doing vaginal breech birth around Australia, I am going to collate them. Thanks! Ps. I already have Lionel Steinberg (attended a great breech birth a couple of weeks ago with him as carer), Guy Skinner and David Freidin in Melbourne, would love stacks more. Best Regards, Kelly Zantey __ NOD32 1.1725 (20060825) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] waterbirth
Wyong does Di - 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 __ NOD32 1932 (20061220) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] Are breastfed kids smarter?
Cant trust a woman to know how she fed her baby Another problem with this study and many others is their reliance on mother's memories of how they fed their infants, often a long time after the fact. Cheers, Di - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, December 17, 2006 10:29 AM Subject: [ozmidwifery] Are breastfed kids smarter? From today's Sunday Herald http://www.smh.com.au/news/parenting/breastfed-kids-smarter/2006/12/15/1165685867351.html Andrea -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1924 (20061215) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
[ozmidwifery] A giggle for Christmas
This came through on my email today and I thought a giggle at this crazy time of year would help keep you all sane. warm regards Di Gardner Went to Abigail's school Christmas concert (no proper Nativity this year Sad ). Each class did a little something followed by a song or 2. Anyway, Ab's class did a Nativity scene, with Ab as Mary ( Grin How proud was I?). A few mins into their bit Ab promptly lifted her dress shoved baby Jesus up it. The script then wandered away from what they'd learnt goes as follows Joseph: What are you doing? Mary: I'm feeding our baby Shepherd: Have you got a bottle up there then? Mary: Don't be silly he's having milk from my booby Joseph: That's disgusting Mary: No, that baby milk they have in Tescos is disgusting. My baby's having proper milk Shepherd: What's a booby? Mary: Those sticky out bits ladies have Shepherd: They're not boobies, they're nipples Mary: No they're not, they're boobies Joseph: So why can't Jesus have milk from a bottle then? Mary: Because I haven't got a breast pump with me - you forgot to put it on the donkey Shepherd: Can't you ask the teacher for a bottle to feed Jesus with? Mary: No because this is the best way to feed Jesus. Anyway bottles haven't been invented yet even if they were I've just had a baby so if you think I'm faffing around Tescos to buy baby milk when I make proper milk in my boobies you can think again I felt a teeny bit sorry for their class teacher - she did try her best to steer them back towards their proper lines but she was laughing so much she didn't really stand a chance. The line about Joseph forgetting the breast pump finished her off - she slid to the floor couldn't get up for laughing
Re: [ozmidwifery] emails not recieved
Hi Jayne It is not just happening with this list. Many of the lists I belong to here and overseas it is happening. I think it is a server problem and I too get lots of answers before I get the original or my one doesn't arrive sometimes until the next day!! I'm sure it is a server problem not a list problem. regads Di Gardner - Original Message - From: Joy Cocks To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 5:33 PM Subject: Re: [ozmidwifery] emails not recieved Hi jayne, I think I get most of them, but don't know enough about cyberspace to be able to offer any suggestions. Sorry. Cheers, Joy Joy Cocks RN (Div 1) RM IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: jayne/jesse To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 16:28 PM Subject: [ozmidwifery] emails not recieved I know there have been complaints (and suggestions to fix it!) about emails sent to the list not being received by everyone. It seems to have peaked for me now. From what I can see from replies to original emails (the originals that I never received), I'm only receiving approximately 50% of emails sent to the list. I'm guessing this would be even less because it's quite likely I'm not receiving some of the replies to the original emails as well! They are not going into my spam folder. I really think this is now beyond 'gremlins' in the system. I often also will receive a reply to an original email many hours BEFORE I'll receive the original email. It has become difficult to become involved in an ongoing discussion when you don't know about half of what is being said. Can I ask, does anyone actually think that they receive nearly all the emails sent to the list without a problem? Regards Jayne
Re: [ozmidwifery] Use of sports drinks in labour
If they like Lucozade that is even better because it not only is high in sugar for energy but also replaces salts and minerals. I always recommend to my clients that they take an energy drink to labour and give their birth companion instructions to alternate it with water. I think that is part of the reason that calmbirth couples do so well and the women are hardly tired at all. Listening to bodies is so important. When you think about it athletes would never consider runing a race without water or an energy drink. They also know how to look after their bodies. regards Di Gardner - Original Message - From: Helen and Graham To: ozmidwifery Sent: Saturday, December 09, 2006 9:38 AM Subject: [ozmidwifery] Use of sports drinks in labour Is anyone recommending women use sports drinks such as Poweraid etc when in labour? I have read some good evidence to suggest it is better than water in long labours but don't have the source at my fingertipsinterested in your thoughts/findings. I figure anything that can help keep a woman from tiring and being labelled by doctors as a fail to progress has got to be worth a try as long as it is evidence based. Helen
[ozmidwifery] BF protest
Mums begin 'lactivism' after airline ban By Geoff Elliott in Washington November 23, 2006 12:00am Article from: Font size: + - Send this article: Print Email IT'S ironic that since a lot of US airlines - airlines everywhere, actually - treat you like cattle that they also might get a bit squeamish over the thought of a dairy. But last month a nursing mother was ejected from a plane about to take off in Vermont because she was trying to breastfeed her baby The extraordinary tale has sparked a discrimination complaint from the mother, Emily Gillette, and a huge embarrassment for the airline, Delta. The brouhaha here has also sparked a form of protest being dubbed lactivism. Over the past week there's been rolling breastfeeding sit-ins where dozens of nursing mothers position themselves in front of the Delta airline counters in protest and, like maternal gunslingers, unleash their bosoms and latch on their babies. Ms Gillette, her husband Brad, and their then 22-month-old daughter, River, were removed from an October flight from Burlington to New York after a flight attendant asked Ms Gillette to cover up while she was breastfeeding the girl. Freedom Airlines was operating the flight on behalf of Delta Air Lines. Ms Gillette, 27, filed a complaint against both airlines with the Vermont Human Rights Commission alleging that the airline violated a state law that allows women to breastfeed in any place of public accommodation. Ms Gillette told USA Today she took a window seat in the second-last row and her husband took the aisle. She began nursing River, using one hand to hold her shirt closed. She told the newspaper: I was not exposed. But the flight attendant approached, tried to hand her a blanket and asked her to cover herself, she recalls. You're offending me, Ms Gillette quotes the woman as saying. I'm not doing anything wrong and I will not cover up, Ms Gillette says she said in response. Ms Gillette says the flight attendant walked away and a few minutes later, a ticket agent boarded and said the flight attendant had ordered them removed. The airline arranged for a hotel for the family for the night and a flight with a different airline the next morning. No woman should ever be ashamed of breastfeeding, Ms Gillette says. She wants both airlines to create policies that protect a woman from being harassed for feeding her child on an airplane. Freedom Airlines spokesman Paul Skellon says breastfeeding on a plane is OK if it's done in a discreet way. Forty-three states in the US have instituted rights for women breastfeeding. This reporter's wife was told last year to cease breastfeeding in a public hall of a federal office, despite laws saying it is legal to do so. Congress passed a right to breastfeed in 1999, which governs all federal buildings and parks. h14_theaustralian.gif Description: GIF image
Re: [ozmidwifery] Kaede` Anne
CONGRATULATIONS!! Rachael, Dan and Rhett Di - Original Message - From: Dan Rachael Austin To: ozmidwifery@acegraphics.com.au ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] Sent: Thursday, November 23, 2006 2:41 PM Subject: [ozmidwifery] Kaede` Anne Hi! I birthed Kaede` Anne yesterday morning at home in water after a gentle night of labour. Born at 38 weeks, she weighed 6 pound 14oz. She is beautiful and adorned by her big brother Rhett. Rhett is going to give her some breastfeeding lessons this PM because she is having trouble getting it right! :) Love, Rachaelxx _ Dan Rachael Austin Namcala 418 Austin's Road Theodore, QLD, 4719 HPh: (07) 49931213 Dan's Mob: 0409896285 Rachael's Mob: 0419750780 Fax: (07) 49931341
Re: [ozmidwifery] setting up a website
Hi Kristin The first thing you have to do is register your domain address. I did it with Anchor Systems Ltd http://www.anchor.com.au which costs me $65 for 2 years. When I asked them why they were so cheap they told me because they don't rip you off. I have had a registration with them for 3 years now and there was no probs renewing it. You can also register through Telstra etc. Just shop around because they all vary in price depending on the company BUT they all do the same thing so more expensive is not necessarily better. You have to decide what it is you want in a website and whether you want to sell on it or just an info site. I've found that the selling on there can gert quite complicated so decided not to do it. Mine was done with a friend in Oklahoma but I also had another one designed with Gary Hegedus here in Melbourne who also filmed a DVD for me and it won't be up and running for a few months yet as I am still gathering information for him. He was really easy to deal with and lots of good ideas. His website is www.ghproductions.com.au so check it out. He charges $500 to do a website including graphics as long as it isn't a 300 page website. He does them pretty quickly and has had a lot of years of experience wthin the media industries. Such a bargain and a really nice guy. I highly recommend him and that's important these days with so many around. regards Diane G www.dianegardner.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 6:01 PM Subject: [ozmidwifery] setting up a website Speaking of our independent services... My next adventure is setting up a website. Whose got one and can anyone give me a ballpark figure at how much this is going to cost me, and how long the process can take? Thanks. Kristin (CBE, Naturopath) -- Advertisement: Looking for the latest range of toys available? Go to www.tradingpost.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] FYI news article
Re: [ozmidwifery] FYI news articleGO KELLY!!! Just speak from the heart and have a few stats to throw in. Why not invite him for coffee and have a one or two women speak of their experiences?? Cheers Di - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 3:02 PM Subject: RE: [ozmidwifery] FYI news article Well what do you know - that big email I sent out to the pollies recently spilling all my guts on the horrific things going on in birth, breastfeeding and MCHN's CC'ing training - I finally have a reply from my local labor candidate and he's given me his mobile number to call him: You have raised many important issues that no email can do it justice. Can you give me a call and we can discuss the points raised. My best number is my mobile Will be an interesting discussion, he seems rather caring and receptive J Now I wish I knew a hell of a lot more than I do so I can put forward the most intelligent arguments!!! This is where I would love your brain Justine and your ability to think on your feet, no matter what discussion you are thrust into! At least I got what I asked for - no standard office replies! If only I can get one back from the liberal member for my area - the state opposition!!! J Best Regards, Kelly Zantey -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Wednesday, September 20, 2006 11:12 PM To: OzMid List Subject: Re: [ozmidwifery] FYI news article Hi Kelly I would really like to talk with you and perhaps Pinky off list to nut out some strategies on 'mainstreaming' 1-2-1 mid options and making our goals palatable 'out there'. I know you and Pinky have contact with some big players and I have often thought we need to maximise ay exposure (not saying you don't just would like to natter about it a bit!). Kind regards Justine
Re: [ozmidwifery] setting up a website
Absolutely Kristin One thing I had to do as a must was visit lots of websites to find what I liked, colours, styles, graphics and what information I wanted to go out there for pregnant coupes to find. Also to be able to climb your way up the Google ladder it is important to know what information goes on that front page so that you are easily found. For example on my website the amount of times HypnoBirthing or calmbirth is mentioned on that front page is very important. It helps to climb your way up that ladder. It has taken 3 years to go from page 3 on Google to page 1. I was continually told it takes patience, patience, patience, a big lesson for me *grin*. There are lots of ideas out there and what Kelly says is good info too. Gather the information and then decide what you want to do. regards Diane G - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 9:47 PM Subject: Re: [ozmidwifery] setting up a website Thanks Diane - some great advice there, I shall follow it up and check out your website. I have seen a few others that I like the style of and suppose the 'style' can be replicated? From: Diane Gardner [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] setting up a website Date: Sun, 19 Nov 2006 20:10:25 +1100 Hi Kristin The first thing you have to do is register your domain address. I did it with Anchor Systems Ltd http://www.anchor.com.au which costs me $65 for 2 years. When I asked them why they were so cheap they told me because they don't rip you off. I have had a registration with them for 3 years now and there was no probs renewing it. You can also register through Telstra etc. Just shop around because they all vary in price depending on the company BUT they all do the same thing so more expensive is not necessarily better. You have to decide what it is you want in a website and whether you want to sell on it or just an info site. I've found that the selling on there can gert quite complicated so decided not to do it. Mine was done with a friend in Oklahoma but I also had another one designed with Gary Hegedus here in Melbourne who also filmed a DVD for me and it won't be up and running for a few months yet as I am still gathering information for him. He was really easy to deal with and lots of good ideas. His website is www.ghproductions.com.au so check it out. He charges $500 to do a website including graphics as long as it isn't a 300 page website. He does them pretty quickly and has had a lot of years of experience wthin the media industries. Such a bargain and a really nice guy. I highly recommend him and that's important these days with so many around. regards Diane G www.dianegardner.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 6:01 PM Subject: [ozmidwifery] setting up a website Speaking of our independent services... My next adventure is setting up a website. Whose got one and can anyone give me a ballpark figure at how much this is going to cost me, and how long the process can take? Thanks. Kristin (CBE, Naturopath) -- Advertisement: Looking for the latest range of toys available? Go to www.tradingpost.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- Advertisement: Looking to expand your DVD collection? Go to www.tradingpost.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] FYI news article
Re: [ozmidwifery] FYI news articleWrong Di I think Kelly!! But you can call me if you like : ) cheers, Di (L) in Mackay - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 8:25 PM Subject: RE: [ozmidwifery] FYI news article Ooooh that's a great idea Di!!! I should try and arrange a time to do a face to face and invite some people J Hm who would I invite?!?!? Ps. Will call you tomorrow, meant to do so today but been flat out - chat then ;) Best Regards, Kelly Zantey Creator, BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Sunday, November 19, 2006 7:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] FYI news article GO KELLY!!! Just speak from the heart and have a few stats to throw in. Why not invite him for coffee and have a one or two women speak of their experiences?? Cheers Di - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 3:02 PM Subject: RE: [ozmidwifery] FYI news article Well what do you know - that big email I sent out to the pollies recently spilling all my guts on the horrific things going on in birth, breastfeeding and MCHN's CC'ing training - I finally have a reply from my local labor candidate and he's given me his mobile number to call him: You have raised many important issues that no email can do it justice. Can you give me a call and we can discuss the points raised. My best number is my mobile Will be an interesting discussion, he seems rather caring and receptive J Now I wish I knew a hell of a lot more than I do so I can put forward the most intelligent arguments!!! This is where I would love your brain Justine and your ability to think on your feet, no matter what discussion you are thrust into! At least I got what I asked for - no standard office replies! If only I can get one back from the liberal member for my area - the state opposition!!! J Best Regards, Kelly Zantey From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Wednesday, September 20, 2006 11:12 PM To: OzMid List Subject: Re: [ozmidwifery] FYI news article Hi Kelly I would really like to talk with you and perhaps Pinky off list to nut out some strategies on 'mainstreaming' 1-2-1 mid options and making our goals palatable 'out there'. I know you and Pinky have contact with some big players and I have often thought we need to maximise ay exposure (not saying you don't just would like to natter about it a bit!). Kind regards Justine
Re: [ozmidwifery] Alternative GBS
A homebirth midwife friend of mine in the USA sent me the douch and garlic recipes a while ago. Here they are: regards Diane Gardner douche: three parts water one part hydrogen peroxide douche before bed four nights in a row having the morning of the fifth day the day of your 'test' (if person is taking the test this gets you a negative result, which is a real result as the h2O2 has killed off all the strep virons in the vagina so the woman is 'good to go' for her birth as well) OR: insert one raw garlic clove vaginally for six nights in a row. Scoring the cloves is best, however, the raw garlic juice can be strong and 'burny' in the vagina. Start with just one or two 'scores' or break surface of the clove with a knife point 2-3 times. See how that feels and go from there, the more scoring or pokes into the surface of the garlic, the more GBS killing takes place. The woman may taste garlic in her mouth after insertion. Some women are really worried and do both, the douche and then insert garlic--THAT combo would REALLY get all GBS microbes for sure!
Re: [ozmidwifery] Alternative GBS
Small sample I know, but of two women who have used the garlic, one swabbed positive with heavy growth, the other negative... Cheers, Di - Original Message - From: Robyn Dempsey [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 5:29 PM Subject: Re: [ozmidwifery] Alternative GBS I'd consult with a herbalist. Echinacea tinctures/ douches etc can be mixed up. I also have heard that a clove of garlic inserted into the vagina ( peeled clove) for 3 nights in a row also aids in reducing GBS. Robyn D - Original Message - From: Melanie Sommeling [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, November 17, 2006 10:15 PM Subject: [ozmidwifery] Alternative GBS Hi wise women of the list, I am curious if anyone can enlighten me of any alternatives to Antibiotics in labour to decrease GBS transfer from mother to baby. I recollect some info about douching during labour, but the info was sketchy to say the least. I understand the risks of transfer are low and the risk or negative effects are even lower, but alternatively have witnessed a birth of a GBS positive mother where AB's were administered and the baby still developed respiratory distress with several hours of birth and question the validity of using AB'a at all. Any advice on the matter would be greatly appriciated. Melanie -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] birth pool
Does anyone have experience with this type of pool?? Can you get disposable liners ?? Cheers, Di - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 10:24 PM Subject: [ozmidwifery] birth pool If any one is interested there is a la bassine birth pool advertised on ebay with a few days to go in the bidding it is only up to $80:00 so far Andrea Q -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals
Re: [ozmidwifery] Our Planet AWESOME!!!!!
Makes our energy use look tiny in comparison, but per capita it is still not good! Andrea it is related, its all part of the same wonderous magic of nature that we see at a personal level at every birth we are priviledged to be part of. Di. - Original Message - From: Andrea Quanchi To: ozmidwifery Sent: Thursday, November 16, 2006 1:12 PM Subject: [ozmidwifery] Our Planet AWESOME! Not at all related to anything but worth a look Andrea Some really great shots of earth: What A Beautiful Blue Planet! scroll down after opening...
Re: [ozmidwifery] No Births at Ryde Birth Centre
Check the RNS/ Ryde newsletter online, has a small section in it. Cheers, Di - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:46 AM Subject: Re: [ozmidwifery] No Births at Ryde Birth Centre I know a couple of MPs but this stuff is rather vague I don't know exactly how to brief them. Anything particularly clear to share with them would be appreciated! : ) J - Original Message - From: sally tracy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 9:07 AM Subject: Re: [ozmidwifery] No Births at Ryde Birth Centre Dear allI might be able to shed a bit of light on Justine's comments. One of the obstacles we had in getting Ryde Midwifery Group Practice up and running was an assurance to the Area health service that there would always be someone (obstetric) capable of doing an emergency CS if necessary at the Ryde hospital - in case of a dire emergency. Needless to say this has never been called upon - but with the troubles of the Ryde General Hospital - the RMGP is drawn into it all unwittingly - because the RMGP can no longer assure the area heath service that an obstetrician can provide that back up at Ryde.Therefore this is really a timely opportunity for the RMGP to reframe the service they are providing and have it ratified by the Area health service - without the nonsense clause that existed in the first proposal. Belmont for example does not have this clause - and I think Ryde midwifery group practice only had it because we had to compromise a on a few fairly benign (we thought at the time) caveats in order to get started. Now we are several years down the track and looking OK - i dont think it will be such a hurdle..so I think Justine is correct is asserting that it will be only a blip in the process - but a process never the less - and for those of you getting these things up and running - there are so many battles to be fought -i guess we have to look at this as just another not insurmountable (but tiresome) hurdle. I do think it would be incredibly helpful if any consumers concerned could take it up with as many people as possible - ie their local member of parliament, the CEO of the Area health Service, the head of Obstetrics at Northern Sydney Health, the NSW Health department , the Australian College of Midwives - anybody who needs to know this isn't good enough best wishesSally t.[EMAIL PROTECTED] wrote: Justine, can you clarify what you mean? I don't understand what you're saying. What "greater good" are women losing out to? How long will it last? When will births be reinstated? Who is the driving force behind denying women their intended place and mode of birth and what are their motives? Is MC taking up the cause to fight for the consumers to have access to what they were promised? TIA, J I'm interested to hear the answers to these questions to Janet. Thanks Love Abby -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] homebirth costs
Wow thats a significant difference between NSW and Vic, what about elsewhere?? Cheers, Di
Re: [ozmidwifery] Breastfeeding help in Mackay
Thanks Barb, Have already passed onSherri's email and will now pass on the phone no. Cheers, Di - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 6:08 PM Subject: Re: [ozmidwifery] Breastfeeding help in Mackay Hi, there is a very active Australian Breastfeeding Association Group in Mackay. Two counsellors are Loretta 49429640 or Sherri 49593359. Australian breastfeeding Association counsellors are extremely well trained in breastfeeding and lactation management. As an added bonus they can link mothers in to a supportive network, which is vital in those early weeks and months (years) of breastfeeding. Although I'm employed now as an LC in an infant feeding support service I learned every skill I have through the Australian Breastfeeding Association. Support is free of charge to any mother/family, but a subscription to the Australian Breastfeeding asssociation is the best investment any mother or health professional could make Barb - Original Message - From: Jo Watson To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 3:15 PM Subject: Re: [ozmidwifery] Breastfeeding help in Mackay Kenacomb ointment on the nipples tiny amount and dab off before expressing (perhaps by hand?) and yes you can give baby EBM with blood in it - as long as she is hep c and hiv neg. Good luck to her! It can be done! Jo On 23/10/2006, at 7:43 AM, diane wrote: Hi I have a friend who birthed last week at the Mater and is having probs with flat/inverted nipples. Very damaged and is AF as of yesterday. Sheis quite motivated to breastfeed. Any one have any suggestions as to who she can see up there? (had already been back in to the hosp and was told under no circumstances to give the baby EBM with blood in it!!). Im still 3 weeks away from moving up there so cant help for now, except on phone! Sounds like maybe a bacterial infection beginning on nipples but no sign of mastitis yet. But nipples are too painful to even express right now, I have discussed pain relief and importance of expressing Just spoke with her and she is going to call the LC at the Mater (Toni?) but I would love to be able to offer her some options in case she cant get help there. Cheers, Di
[ozmidwifery] Breastfeeding help in Mackay
Hi I have a friend who birthed last week at the Mater and is having probs with flat/inverted nipples. Very damaged and is AF as of yesterday. Sheis quite motivated to breastfeed. Any one have any suggestions as to who she can see up there? (had already been back in to the hosp and was told under no circumstances to give the baby EBM with blood in it!!). Im still 3 weeks away from moving up there so cant help for now, except on phone! Sounds like maybe a bacterial infection beginning on nipples but no sign of mastitis yet. But nipples are too painful to even express right now, I have discussed pain relief and importance of expressing Just spoke with her and she is going to call the LC at the Mater (Toni?) but I would love to be able to offer her some options in case she cant get help there. Cheers, Di
Re: [ozmidwifery] rural maternity services
I think Muswellbrook? Upper Hunter Birth Choice? Di (L) - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 11:23 AM Subject: RE: [ozmidwifery] rural maternity services Di M. Youre not in Mareeba in NQ by any chance? J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of D. MorganSent: Monday, 23 October 2006 11:17 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] rural maternity services Hi Louise, Just a comment about rural maternity services or lack of!! I am a midwife in a rural facility and was hitting my head against the wall trying to get birthing back to our town. We have a Midwives clinic which wasn't well attended and lots of times couldn't bring postnatals back because we had no beds. (We are now marketing our product to the local GP's!!) Well one day, about 6 mths ago; along came two consumers from our town to ask why we had birthing taken away and why we couldn't get it back .This spurred me on again and together they(as a group) of consumers/Midwives are at a point where the district has set up a committee to work out the appropriate model of care for our birthing women. It can be done, but it must come from consumers and they must lobby there local politician and district health servicefor support. Our group affiliated with Maternity Coalition who have been really wonderful. From a Midwives perspective I have learned so much in the last 6 months and feel supported to continue the fight for our community. Go for it. You only need one or two passionate people. Cheers Di M
Re: [ozmidwifery] rural maternity services
Di, did we meet at Wyong once? Someone fom that direction had a look around at our unit. Di (L) - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 11:17 AM Subject: [ozmidwifery] rural maternity services Hi Louise, Just a comment about rural maternity services or lack of!! I am a midwife in a rural facility and was hitting my head against the wall trying to get birthing back to our town. We have a Midwives clinic which wasn't well attended and lots of times couldn't bring postnatals back because we had no beds. (We are now marketing our product to the local GP's!!) Well one day, about 6 mths ago; along came two consumers from our town to ask why we had birthing taken away and why we couldn't get it back .This spurred me on again and together they(as a group) of consumers/Midwives are at a point where the district has set up a committee to work out the appropriate model of care for our birthing women. It can be done, but it must come from consumers and they must lobby there local politician and district health servicefor support. Our group affiliated with Maternity Coalition who have been really wonderful. From a Midwives perspective I have learned so much in the last 6 months and feel supported to continue the fight for our community. Go for it. You only need one or two passionate people. Cheers Di M
Re: [ozmidwifery] rural maternity services
They have a hard enough time finding midwives to work out that way too. My mum is a midwife who is working on contract at Narrabri on a regular basis (Wee Waa is a bit over an hour from Narrabri I think??) but as in most rural units there is very little choice of care. Cheers, Di (L) - Original Message - From: jo To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 11:59 AM Subject: RE: [ozmidwifery] rural maternity services Wow Di , what a fabulous story! I have a doula client birthing in Jan. She is from a place called Wee Waa and they have no maternity services. She is traveling 4 ½ hours to Bathurst to stay with family before her due date. There are also no doulas out that way so I am traveling 2 ½ hours from the lower mtns to Bathurst to be her doula. It just seems so crazy and I really feel for these women. Shes expressed how shell prob go straight to hospital because she doesnt feel comfortable labouring in front of her teenage nephews and brother in law. Ill have a chat with her about your success story Di. Thanks for sharing Jo From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of D. MorganSent: Monday, 23 October 2006 11:17 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] rural maternity services Hi Louise, Just a comment about rural maternity services or lack of!! I am a midwife in a rural facility and was hitting my head against the wall trying to get birthing back to our town. We have a Midwives clinic which wasn't well attended and lots of times couldn't bring postnatals back because we had no beds. (We are now marketing our product to the local GP's!!) Well one day, about 6 mths ago; along came two consumers from our town to ask why we had birthing taken away and why we couldn't get it back .This spurred me on again and together they(as a group) of consumers/Midwives are at a point where the district has set up a committee to work out the appropriate model of care for our birthing women. It can be done, but it must come from consumers and they must lobby there local politician and district health servicefor support. Our group affiliated with Maternity Coalition who have been really wonderful. From a Midwives perspective I have learned so much in the last 6 months and feel supported to continue the fight for our community. Go for it. You only need one or two passionate people. Cheers Di M
Re: [ozmidwifery] rural maternity services
Tragic isn't it that so many of us know this scenario in many regions over the country?? Would make a great documentary to travel around our country talking to the women in the regions of their experiences with birthing services, including those who have solved their problems with good consumer driven services. Anyone got filmmaking skills?? Cheers Di - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 2:34 PM Subject: Re: [ozmidwifery] rural maternity services No, Maleny-Sunshine Coast. But I think the story is the same everywhere. It is the consumers we need to get moving because no one is listening to the healthcare workers. I am still stunned at how quickly things have moved since our girls(consumers) got their teeth into the problem. They have read everything I have given them on models of care, the review of Maternity services in Qld, etc. and have a solution to just about every problem that has been put to them, I am very proud of them. Di M
Re: [ozmidwifery] blood gasses and other policies
This is dreadful, This behaviour is assault and if i found someone had done that to my child I would have them charged! Di - Original Message - From: nunyara To: ozmidwifery@acegraphics.com.au Sent: Monday, October 16, 2006 6:11 PM Subject: RE: [ozmidwifery] blood gasses and other policies Hi Barb I had a client just last week for a pregnancy massage. She is 31 weeks and this is her second child. She breasted her first bub until she was about 18 months old. However, she is TERRIFIED not about the birth but about her new baby being given formula whilst it is in hospital. Apparently, this occurred with her first baby but without her knowledge and consent. At the time, she was absolutely furious that this had occurred because she had let everyone know how very keen she was to breastfeed. When she asked why this happened, she was given a variety of different reasons ranging from baby was hungry to a mere shrug of the shoulders. She spoke to her obs about it and he did not seem to be concerned about all the fuss. She couldnt understand why no-one seemed to think it was an issue because it was for her. In fact, she got really angry while talking about it during the massage and then she started crying still upset after almost 3 years!!! Ramona Lane Nunyara Healing From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Barbara Glare Chris BrightSent: Sunday, 15 October 2006 9:43 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] blood gasses and other policies HI, Interesting conversation about blood gasses.I frequently get reports from mothers and health professionals that they gave birth in a Baby friendly hospital, or a hospital with clear policies on breastfeeding, but that babies are given infant formula often without their parents consent, or not with their parents INFORMED consent. This always intrigues me greatly. There seem to be no repercussions for staff who go against breastfeeding policies. Reasons I have heard for staff giving babies formula when I've asked midwives why they gave a baby formula include "the other midwife told me the baby was hungry", we didn't want to disturb the mother etc. Mothers tell me they were told that staff didn't want to wake/disturb the mother - they knew she was tired. Told she had no milk. Told the baby was hungry and needed something.And, my personal favourite, "it's OK, at this hospital we give babies the formula that is closest to human milk" Rarely are they told WHY the midwife thinks these things.These are babieswho are well, don't even start me on babies in the nursery where parent's rights seem to go right out the window.Some parents I have spoken to are very upset and angry. I wonder why breastfeeding policy is in a *different* category in most hospitals? Do others find this? Barb
Re: [ozmidwifery] We can make a difference
Hi Di It does get easier and easier as you teach and becomes more comfortable and enjoyable. Yes it is making such a difference. Once the word gets out you will have lots of pregnant couples I'm sure. As far as I am aware Sue there are not any practitioners yet in WA. The laws in WA are still archaic so it makes it difficult tointroduce new programs like calmbirth in there. I believe that is starting to change though. The laws are the same in SA too. Amazing in this day and age that it can still be that way. Here is another story that just came through to me tonight. Sigh birth is so wonderful I hope it catches on *grin* I thought the listcould do with another beautiful story to uplift us and know we are out there working together for a beautiful causelife! warm regards Diane Gardner Hi there Diane Our little girl was born on Sunday the 1st of October at 5.30 am, after only a 3 hour labour and at 37 weeks this time. Saffron Lilli Shale weighing in at only 5lb, but perfect in every way. She came so quicklyI almost had her on the doorstep as we left for the hospital! When I woke at 2.30am and realised the birth was on its way, rather than being filled with dread at the thought of labour, I was overwhelmingly excited at the prospect of meeting my baby...that's when I really realised the value of calm birth. Despite a very fast progressing labour we were still both calm and using the techniques. The worst part was the car journey to the hospital. In hind-sight we probably would have been better placed not leaving home at all as I think I was probably already in transition by that stage, but 20 minutes later (which I thought was only about 10...so something was working well) and a few jumped red lights later we arrived at the Family Birth Centre (hospital name removed). Little Saffronpopped her head out for a leisurely look around (as the midwife put it)about 20 minutes later. Themidwife commented repeatedly about how relaxed little girl was and how fantastic the birth had been. It was pretty good from my point of view too! I picked her up, climbed into bed with her and we cuddled uninterupted for the next few hours. The cord wasn't cut till it stopped pulsating and I required no drugs to deliver the placenta. She fed at the breast spontaneously after about 10 minutes and stayed there for an hour! She certainly knows how to feed and she's piling the pounds on now! Apparently, She was posterior too, andI am toldwould have come quicker had she been the other way round! We have been so overjoyed by the fact that everything went according tothe birth plan, despite being surprised by the speed of it all. Thankyou so much for giving us confidence,positivity knowledge, and contributing to a wonderful birth experience for us and for Saffron. Coben has beena bit unsure about the whole thing but is getting the hang of being a big brother now as you can see from the photo. She loves him and won't take her eyes of him! Love from us all - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, October 16, 2006 7:17 PM Subject: Re: [ozmidwifery] We can make a difference Thanks from me too Diane, I just taught my first Calmbirth couple on the weekend, and although I felt a little awkward, I kept reminding myself of the difference it can make. (Im sure it will flow more easily as time goes on!). There are plenty of calmbirth practitioners on the NSW central Coast where I currently work. I will be setting up my classes when I move to Mackay next month. I will be needing one more volunteer couple when I get there, before gaining my certification as I dont have time to complete them before I move. So if anyone up that way knows of someone who may be keen to volunteer, please ask them to contact me at [EMAIL PROTECTED] Other practitioners can be found on the Calmbirth register at www.calmbirthregister.com It doesnt look as if there are any on the register in WA though Sue, but you could contact Peter Jackson and ask him if there are any over that way. www.calmbirth.com.au Cheers, Di (L)
Re: [ozmidwifery] We can make a difference
It is quite some time since I wrote on this list and after reading some of the posts recently it has made me really appreciate the job I am doing. I KNOW my job is encouraging women to change the way they give birth, again trusting their body's ability to just do it. Sorry this post is so long. I am not a midwife but part of childbirth education teaching the Australian calmbirth program. Previously I taught HypnoBirthing but becausethe USAhad such a stranglehold on what wecouldn't change to teach for Australia,the opportunity came alongto be a part of the Australian program so Igrabbed it knowing what a difference the previous program was already making and with an Australian influence it was even better. I also know many of you midwives out there are seeing a difference in the women who are coming in to birth their babies using these relaxation programs. I have beendoing a small study whichI only started a couple of months ago and of the last 17 couples who have birthed only one had medical intervention. They all listened to and worked with their bodies beautifully supported by their partners who also learn and appreciate how women birth. They also stood up to the system and said this is what I want. MY way! Only a week ago I returned home from Birsbane after a conferenceand one of my clients rang me to let me know she was in labour with her 3rd baby. Her first 2 births were horrendous. During her first birth she was losing controland her assigned midwife said "you think this is bad, wait until the pain is so bad you will beBEGGING us to help you, the only thing that will get rid of this posterior labour pain is an epidural". So guess what she lost it totally there and then. During her second birth she had a wonderful and supportive midwife for the first couple of hours and then guess what the SAME midwifecame on dutyagain. This time she said "it would be better for everyone this time if you just have the epidural right now".My clientwent into immediate panick and the same scenario happened again. When she was pregnant again she knew she HAD todo something different. Nature wastelling her to listen and this time she was. She rang in total fear of it repeating again and booked in for classes. When she spoke to me on the phone at the start of this 3rd labour she had been to the races and after going to the toilet realised she had, hada show. When she returned home she rang and said I am in labour but it is so different, it isn't painful, it is all in my backbut I am breathing through the contractions easily. She knew her baby was posterior again so I let her know the postions to help encourage baby to rotate and alsotold her I would be around if she needed me for support. Two hours later her hubby rang and asked me to come into the hospital because a midwife who had relieved her assigned midwife to go to tea had bounced her and she was getting fearful of the same scencario being set up again. I arrived at the hospital 30 mins later to have missed the birth by 5 minutes. When her assigned midwife came back into the room and realised what had happened she immediately went to my client and whispered in her ear " listen to your body, it knows what to do, just let it do it". From that moment there was no more panick, she was back on track. She said she just kept thinking to herself "my body knows what to do, keep out of it's way and let it do its job". Her baby floated into the world calmly and peacefully. When I walked into the room she looked at me beaming and said " I DID IT and it was so wonderful, my body is so wonderful". I NEVER had a doubt she could do it because we have birthed babies for thousands of years and our bodies just KNOW how to do it. She videoed the birth and it IS wonderful. So many times over the last five years I have been kicked in the face, riduculed, accused ofinterferring with "hospital policy" by telling women they have rightsANDfor daring to teach a program that encourages women to look back within and get back in touch with their natural ability to birth. In my early days I was shunned in the birthing room because others wanted to just take control of women's births and how dare I stand there and support a woman's rights. I stood my ground! You midwives out there ARE making a difference, please don't ever give up. I will never give up my support for women to have the births they deserve to have and having you wonderful women there fighting from within the system IS changing it one birth at a time. It only takes one pebble in a pond to start a ripple. I'm not naive, I know we have a long way to go but if I know birth IS changing one birth at a time then I am encourged to be there and continue the fight for the right to birth as nature intended. Thanks for listening. Diane Gardner Melbourne Dip Couns, Adv Dip Hypnosis NLP, HBCE ,calmbirth Prac.
Re: [ozmidwifery] Goodbyes
Thank You Paivi, Your letter is quite humbling. It should make us feel ashamed of our bickering. There is a far bigger picture than the snap shot we see every day, and our little philosophical differences. WE do make a difference, We have made a difference, and we will continue to do so. It is this list that gives me the strength and hope to keep chipping away at the coalface. I feel far less alone and radical when you are all out there doing the hard work too. This is more than a job for allof us, it is a calling. Some can do more than others, some do differently than others, the important thing is WE DO! Di - Original Message - From: Päivi To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 3:48 PM Subject: Re: [ozmidwifery] Goodbyes Just a quick noteto all of you, before I run of to work. Two days ago I went to the Finnish Midwives meeting, where a hospital midwife gave a speach. She described what it was like to care for women twenty years ago, or even ten years ago, when they gave birth on their own empowered. She also described the seem in the today's hospitals with women wanting all possible drugs at the doorstep. It must be hard to work in those circumstances. But what made me really sad is, that thisparticular midwife had lost her hope for things ever changing. She seemed to have accepted, that time had changed things, and there is no going back anymore. When I got home I wrote to her and told about this list, how every day I read your encouraging commets and stories of women giving birth on their own every day in today's world. How that inspires me to beleive, that I can still change things around in my country an tomorrow can be better, than today. I received a reply from her. My letter to her had made her very happy, because she saw, that there was someone, who has the energy to beleive in the better future, to try to fight the system, to inform the parents and inspire. Obviously she hadn't sensed this for years. We don't have a single forum like this in my country, there are no homebirth conferences or such to attend. Simply there is very little change for these midwives around the country to support each other in their common goal; to provide women with evidence based practise. I think this list is the best, because I always get an onest opinion of what happens, when midwives don't give in to the policies, and work independently. And also how things can be done even in the high-risk hospital. You are the Best! Gotta go now, Don't leave sadie =) Päivi - Original Message - From: adamnamy To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 7:04 AM Subject: [ozmidwifery] Goodbyes I too appreciate the variety of input from all contributors. Things get a bit heated but thats life at the coalface. Our biggest challenge is not each other but an attitude that says women cant be in charge of their own bodies and make their own decisions. Lets not lose sight of that goal and get personal. We all do our bit, the bit that we can do. And always, it will vary according to our strengths and weaknesses. It would be a real shame to lose either of you. As a non midwife, I really appreciate the expertise and the perspectives that midwives working in various settings bring to the discussions. We need to know what we are up against so be honest about the challenges you face, because they become ours pretty quickly. In gratitude for your dedication, amy
Re: [ozmidwifery] Goodbye
Sadie, Many of us would miss your valuable experience. To question routine policies is a wonderful and reasonable thing to do, To crucify someone who has to work within the limitations of such as system is unforgivable. Midwives, can we please be respectful when talking to one another, just cause someone has to toe the policy line doesnt mean they are less of a midwife. These are the midwives who make birthing tolerable in the scary public and private sector. I had to transfer out a multip at 40+4 ,just because she had light meconium last night. I could argue it till the cows come home and end up losing my job, then where would the majority of the women be who have wonderful peaceful births in my unit. We do what we can within limitations, changing the world one birth at a time. Respectfully, Di - Original Message - From: Sadie To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 9:16 AM Subject: [ozmidwifery] Goodbye The time has come for me to leave the ozmidwifery mailing list. I have been an active member for 7 years and have made some fabulous friends and have shared the views, advice friendship of some incredible women who are as passionate about midwifery as myself. Unfortunately the criticism and 'back-biting'constantly being hurledby some members of this list towards their colleagues has become unacceptable to me - I have enough to contend with on a daily basis at work, without continuing tofight the battleon my own computer in my home. I choose to work in a high-risk hospital environment because these women also deserve good midwifery care, I need to pick my battles carefully. There are far more important issues for me, in my circumstances, than trying to make a stand against a policy regarding blood gases, that is firmly entrenched. Seems to me that if we cannot nuture our colleagues - how on earth can we nuture the women we care for? As midwives we are all different, working in different environments but surely with the one aim?To emotionally and spiritually walk alongside women of all ages, races, classes and social status, as they travel the childbirth path. This holdsthe primary place inmy midwifery agenda. See ya, Sadie "Laughter is the brush that sweeps away the cobwebs of the heart."
Re: [ozmidwifery] cord blood gases
We dont have a machine in our unit. I think we may have one somewhere in the hospital, but thankfully no one is pushing for us to get one. Why would they want to do gasses on a babe with good `apgars? The NICE guidelines sound reasonable. Di - Original Message - From: Briege Lagan To: ozmidwifery@acegraphics.com.au Sent: Friday, October 13, 2006 7:12 PM Subject: Re: [ozmidwifery] cord blood gases Naomi In units where I work within Northern Ireland,cordblood gases are only done if · Emergency caesarean section is performed · Instrumental vaginal delivery is performed · A fetal blood sample has been performed in labour · Birth, if the babys condition at birth is poor These are the recommendations from The Use of Electronic Fetal Monitoring. National Institute for Clinical Excellence. May 2001 http://www.nice.org.uk/page.aspx?o=guidelineC Other articles which may be of interest to you are: The merit of routine cord blood pH measurement at birth http://www.atypon-link.com/WDG/doi/pdf/10.1515/JPM.1999.021 Umbilical cord pH and risk factors for acidaemia in neonates in Kerman http://www.emro.who.int/Publications/Emhj/1101_2/PDF/13%20Umbilical%20cord%20blood.pdf Umbilical cord blood sampling and expert data care http://www.k2ms.com/support/Documents/K2EDCPD.pdf Hope this helps Briege Briege Lagan PhD Student/Clinical Midwife SpecialistUniversity of Ulster Northern Ireland Naomi Wilkin [EMAIL PROTECTED] wrote: Hi all,Just wondering how common it is for cord blood gases to be done in maternity units. I work in a small metro. hospital with a very busy maternity unit and our medical 'powers that be' are pushing for them to be done at every birth. Something we, the midwives, are very, very reluctant to do.I was also wondering if anyone knows of any research that may help us to prevent this from becoming a routine thing.ThanksNaomi.--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Send instant messages to your online friends http://uk.messenger.yahoo.com
Re: [ozmidwifery] Goodbye
Not sure about you, but my husband seems to think I am desirable! ; ) (especially after two weeks away at work in Qld! Then again after weeks away Im not sure almost anyone is!). LOL I think if we are careful to re read our posts before hitting send and think about how we would feel if it was sent to us on a particularly sensitive day, then we may avoid inadvertantly offending anyone. Di - Original Message - From: Lisa Barrett To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 12:50 PM Subject: Re: [ozmidwifery] Goodbye When talking about respect does that mean all around. I agree I was to the point but unreasonable and undesirable? Lisa Barrett - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 10:28 AM Subject: RE: [ozmidwifery] Goodbye Sadie I also have enjoyed your comments and arguments for and against many issues as a midwife beginning practice and also working in a high risk hospital I understand the need to work there as women do deserve good care and advocacy from midwives. I like others will be sorry that you are leaving the list because of a few who are being unreasonable and undesirable in their answering of you. Thank you for your input regards sharon heath
Re: [ozmidwifery] Oblique presentation?
would probably think of offering the same advice as breech. Moxa, visualisation , gentle massage in the right direction, squatting. Placenta and uterus all normal? Definite need for concern if membranes release if there is nothing in the pelvis. Would talk about knee chest position and self checking for cord if this happens and emergency transport. Is she close to hospy? Cheers Di - Original Message - From: Honey Acharya To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 2:57 PM Subject: [ozmidwifery] Oblique presentation? Any suggestions for a woman who is 39 weeks pregnant just had doctors appointment where she was told baby is now not OP but oblique (head on right side) and he suggested that they admit her to hospital right away (worried about cord prolapse) and wait and look at inducing her. She declined that offer and said she would go away and give it some more time.
[ozmidwifery] ECV
Central Coast NSW does ECV. Di
Re: [ozmidwifery] No Contractions
Title: Message Thanks All, for your thoughts, Not so sure it was rest and be thankful stage as she had already had involuntary pushing happening for a while with the first bit of second stage contractions that were only very short, and she had brought baby down to on view at that stage, it was then they dropped right off and when bub was almost crowning that they stopped. I didnt feel comfortable to have her sit there with low FH and head 1/4 out! Dont think there was a psychological block as she had even stated earlier " i cant wait to feel that burning, stretching then I know it is almost here" We dont have on site doctors but have strict criteria for transfer or to call in the consultant. We dont put up synto, that would require transfer. I even thought about yelling BOO to scare her and get a fetus ejection reflex!! : ) She had been self regulating her fluid intake, but it could have been helpful to get some carbs, and usually I would do this but she had been vomiting a reasonable amount and felt it best to stick with fluids, perhaps some cordial could have helped. Would love some good references on the Ketones too, we get hounded badly about hydration. Cheers, Di - Original Message - From: Lisa Gierke To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 4:15 PM Subject: RE: [ozmidwifery] No Contractions No Mary wasn't directing this at you or anyone in general really...just feel for Di...as think she did a great job assome hospital midwives would have thrown it in the too hard basket and called the doc for the vaccumm waay before; what with the fetal distress and all (tongue in cheek). And yep beating up on ourselves is a real midwife trait isn't it! Especially when you have rotton doctors and others putting their 2 cents worth in about you decsions! Can anyone think of the reference for the ketone thingy?.. LisaX -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Friday, 6 October 2006 3:52 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] No Contractions Hi Lisa, there was definitely no intent of implied criticism when I said no should haves. Just a reminder that we beat up on ourselves all the time . OH maybe I should have, shouldnt have. etc. We each have to respond to the best of our clinical judgment, in the way we see it, at the time. It is hard to say I would do this when because there is no hard and fast rule, just that rush of adrenalin and a sense of alarm that makes us act. Sorry I cant elaborate further. I agree about the fluids. In fact quite a while ago I read some articles about the presence of keytones being normal in labour. sorry cant remember where. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa BarrettSent: Friday, 6 October 2006 1:19 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] No Contractions Sorry Mary If my language inferred "should have" but when would you get a woman to push without a contraction?. Exception maybe breech out to nape of neck with worries about the baby's condition. IV fluids doesn't constitute any part of normal physiological labour unless I've missed something vital. When asked for opinion in future I will refrain from giving any unless my language is less confrontational. Lisa Barrett - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 8:17 AM Subject: RE: [ozmidwifery] No Contractions Di, It sounds as tho you managed a difficult situation in the best way you knew, and that is all one can do. You are now seeking to learn from it and we will obviously give you tips based on our experiences. Dont feel that you should have etc. Many midwifery authors in all kinds of natural birthing magazines like Midwifery Today etc, have spoken about the rest and recovery stage where the body needs to gather its strength for the final stage. It usually happens at the end of a demanding first stage and the woman showing signs of tiredness. I am old enough to remember doctors saying turn her on her side and give her a rest, Sis, in a time when IV fluids, synto drip and epidurals were available but not used so aggressively. At the transition between the first and second stage in a primip, the urge to push with each contraction needs to be resisted for a little while and
Re: [ozmidwifery] Sports drinks
Thanks Lisa, Wouldnt it be great if we could seek our 'evidence' from physiological labour. Im not sure how well these epiduralised induced women compare in these respects. Anyone got time to do formal studies?? Not me at this stage : ) Di - Original Message - From: Lisa Gierke [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 4:58 PM Subject: [ozmidwifery] Sports drinks Ovid Technologies, Inc. Email Service -- Results: Anesthesia Analgesia (C) 2002 by International Anesthesia Research Society. Volume 94(2), February 2002, pp 404-408 An Evaluation of Isotonic Sport Drinks During Labor [TECHNOLOGY, COMPUTING, AND SIMULATION: OBSTETRIC ANESTHESIA] Kubli, Mark FRCA(UK)*,; Scrutton, Mark J. FRCA(UK)+,; Seed, Paul T. MSc, Cstat++,; O' Sullivan, Geraldine PhD, FRCA(UK)* *Department of Anaesthesia, St. Thomas' Hospital, London, United Kingdom; +Department of Anaesthesia, St. Michael's Hospital, Bristol, United +Kingdom; and ++Maternal Fetal Research Unit, Department of Obstetrics ++Gynaecology, Guy's Kings and St. Thomas' School of Medicine, King's College, London, United Kingdom Supported by a grant from the Obstetric Anaesthetists' Association, United Kingdom. September 14, 2001. Address correspondence and reprint requests to M. Kubli, FRCA, Department of Anaesthesia, St. Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, United Kingdom. Address e-mail to [EMAIL PROTECTED] -- Outline Abstract Methods Results Discussion References Graphics Table 1 Table 2 Table 3 Table 4 Abstract We compared the metabolic effects of allowing women isotonic sport drinks rather than water to drink during labor. The effect of these drinks on gastric residual volume was also evaluated. Sixty women in early labor (cervical dilation P = 0.000) and nonesterified fatty acids (P = 0.000) had increased and plasma glucose (P = 0.007) had decreased significantly in the Water-Only group. Gastric antral cross-sectional area after delivery was similar in the two groups. The incidence of vomiting and the volume vomited during labor and within the hour of delivery were also similar. There was no difference between the groups in any maternal or neonatal outcome of labor. In conclusion, isotonic drinks reduce maternal ketosis in labor without increasing gastric volume. -- In recent years, maternal mortality from acid pulmonary aspiration (Mendelson's syndrome) (1) has dramatically declined. In the Report on the Confidential Enquiries into Maternal Deaths in England and Wales (1991-1996), only one mother died from aspiration (2). There are several factors that may be associated with this audited improvement. These include the increased use of regional anesthesia for cesarean delivery, improved training of anesthesiologists, and, possibly, the introduction of nonparticulate antacids and H2-receptor antagonists. The role of nothing by mouth during labor, as recommended in the first Report on the Confidential Enquiries into Maternal Deaths (1952-1954), is less clear (2). Women in labor exhibit a state of accelerated starvation, with rapid increases in the blood levels of [beta]-hydroxybutyrate, acetoacetic acid, and the nonesterified fatty acids (NEFAs) from which they are derived and with a concomitant decrease in blood glucose (3). It has been suggested, although never scientifically proven, that these changes may have detrimental effects on uterine activity and the progress of labor (4). A previous study demonstrated that allowing laboring women to eat a light diet prevented the increase of plasma ketones and NEFAs (5). However, not surprisingly, feeding resulted in a significant increase in residual gastric volume, which could predispose to pulmonary aspiration should a complication of neuroaxial anesthesia occur or should general anesthesia be required unexpectedly. Isotonic drinks are rapidly emptied from the stomach and absorbed by the gastrointestinal tract (6,7) and therefore may theoretically provide a safer alternative to solid food. The aim of this study was to evaluate whether isotonic drinks would prevent ketosis without increasing the risk of potential aspiration. Methods St. Thomas' Hospital Ethics Committee granted approval for this project. After informed written consent, 60 women presenting in early labor (cervical dilation (R) (still), with the choice of either orange or lemon flavor. Lucozade Sport (still) contains a mixed carbohydrate profile (dextrose, maltodextrin, and glucose) of 64 g/L, a sodium of 24 mmol/L, potassium of 2.6 mmol/L, and calcium of 1.2 mmol/L and has a tonicity of 300 mOsm/kg. Women in the Sport Drinks group were encouraged to consume up to 500 mL (one bottle) in the first hour and then a further 500 mL every 3 to 4 h. Additionally, they were allowed to take small quantities of water as desired. Women
Re: [ozmidwifery] Fluids in labour
I have heard anectodal evidence of this too. Di - Original Message - From: Christine Holliday [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 6:20 PM Subject: RE: [ozmidwifery] Fluids in labour Just to add confusion about this issue, I remember a woman in labour who had a long labour and drank a large amount of fluid and the baby had hyponatraemia (I think it was low in something) and when we checked the mother she too was very dilute in many of her essential elements. She recovered without incidence but the baby was unwell until we administered replacements to bring levels back to normal. Sorry it is a vague story but it is another thing to think of when being over enthusiastic in encouraging fluids, although this is much rarer than the dehydrated woman who needs hydrated to recommence contractions. Christine -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Lisa Gierke Sent: 06 October 2006 16:27 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Fluids in labour Haven't read it fully yet! Ovid Technologies, Inc. Email Service -- Results: Obstetrical Gynecological Survey (C) 2006 Lippincott Williams Wilkins, Inc. Volume 61(10), October 2006, pp 623-625 Increased Intravenous Fluid Intake and the Course of Labor in Nulliparous Women [Obstetrics: Management of Labor, Delivery, and the Puerperium] Eslamian, L; Marsoosi, V; Pakneeyat, Y Obstetrics Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Int J Gynecol Obstet 2006;93:102-105 -- Outline ABSTRACT EDITORIAL COMMENT ABSTRACT Adequate hydration improves muscle performance during prolonged exercise, and this should apply to myometrial contractility during labor. In general, parturients receive intravenous fluid at a rate of 125 mL/hour, amounting to 3 L in 24 hours, but this rate is based on a resting patient not taking oral fluids and it does not always prevent clinical dehydration. This prospective, randomized, double-blind study compared the conventional regimen of 125 mL/hour (group 1) with 250 mL/hour of Ringer solution (group 2). Participants were 300 nulliparous women at term who had singleton pregnancies of 37 weeks or longer with a cephalic presentation. Labor began spontaneously in all cases. The 2 groups were matched for maternal and gestational ages, Bishop score, state of the membranes, birth weight, and infant gender. Women in group 1 received a mean of 810 mL of fluid, and women in group 2 1065 mL, a significant difference (P Delivering twice as much intravenous fluid during labor as is ordinarily administered significantly shortened labor in this study of nulliparous women who spontaneously entered labor at term. This practice may lessen the risk of prolonged labor and also the need for oxytocin. -- EDITORIAL COMMENT (The abstracted report of Eslamian et al is the second randomized trial to address the issue of whether a higher rate of intravenous fluid administration shortens spontaneous labor. The first was by performed by Garite et al (Am J Obstet Gynecol 2000;183:1544). Because they are the only 2, it is worthwhile to compare and contrast them. Both used virtually identical methodologies, studying healthy nulliparous women at or near term, in spontaneous early labor with a singleton vertex fetus. In both studies, randomization was to isotonic intravenous fluid (lactated Ringer or saline) at a rate of either 250 mL/hour or 125 mL/hour. In the Garite study, women used epidural anesthesia, but in the Eslamian study they did not. In the Garite trial, the total duration of labor (from admission until delivery) was shorter by approximately 1 hour in the 250 mL/hour group (484 vs 552 minutes), a difference that was not statistically significant. Fewer women in the 250 mL/hour group underwent labor augmentation (49% vs 65%), and fewer underwent cesarean delivery (10% vs 17%), but these differences were not statistically significantly different either. Women in the 250 mL/hour group received a mean volume of intravenous fluid of 2487 mL versus 2008 mL in the 125 mL/hour group or, on average, 308 mL and 218 mL, respectively, for each hour of labor. The fluid in excess of that mandated by the protocol derived from prehydration for epidural placement and discretionary nursing administration in response to concerning fetal heart rate features. In the Eslamian trial, labor was shorter by approximately 2 hours in the 250 mL/hour group (253 vs 386 minutes), and this difference was statistically significant. Overall, labors in the Eslamian trial were 3 to 4 hours shorter than in the Garite trial, and women received smaller volumes of fluid, a mean of 1065 mL in the 250 mL/hour group and 810 mL in the 125 mL/hour group or, on average, 252 mL versus 126 mL,
Re: [ozmidwifery] FW: Headline - Birth rights for men
the readers comments generated from this article are a great read, everything from C/S to freebirth, wow!!! Di - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 05, 2006 5:53 PM Subject: [ozmidwifery] FW: Headline - Birth rights for men Congratulations to David Vernon and the college on Men at Birth - article from the SMH attached -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] No Contractions
Hi Wise women, Just want to throw this out there for comments/suggestions. Had a birth the other night that was a bit worrying at the time. Good outcome lovely 4200g baby girl. Mum (primip)had SROM at clinic visit at 830 am then went home and established at about 1630, came in contracting moderately at 1900hrs was 4-5cm , I took over her care at 2000hrs. Lovely very motivated mum, well read and attended classes, well supported by partner and mum and mum in law and sister. Ctx hotted up to 3-4 minutely and stronger, was drinking well but had a few small vomits, and next UA showed small ketones and SG 1.030, but was still drinking well and ctx remained strong and regular so didnt want to put in a cannula. VE at 1130 showed an anterior lip, still a bit thick. Wasnt able to wee again after that but head was well down. Was actively pushing with some ctx at 0100 with signs of full dilatation (nice purple line!) Contractions really started to drop off, became about 4minutely and only about 20secs of good strength. Mum getting quite tired at this stage but more focussed and excited than earlier. At this point I did put up some fluids as I thought with the ctx dropping off combined with her fatigue she might need some hydration. She pushed babe up to on view (birth stool) but made little more progress over next 20mins or so. Fluids running in flat out but no sign of increased ctx. Babes HR started to drop to around 80 which at first had good recovery , so I wasn't too worried but after a while were staying there for a minute or so each time before climbing back to 100. At this point with encouragement she managed to push bub up to almost crowning and that was the last of the contractions!!! Obviously not easy to get FH at this stage but was quite low and staying there. She had not much strength left as she had done much of the work without help of ctx. With a few position changes she got a little more head out but then seemed to only move millimeter by millimetercolour was ok eventually after what seemed like 10 minutes I managed to push the peri back to get a chin...then nothing no ctx...mum managed to push a little and I got her to move from kneeling to standing then one leg up on bedstill nothing... went onto bed and there was some movement with maternal effort (the last of it!) the body birthed over almost three minutes, it was a pretty tight fit with the shoulders coming in the lateral position, when a shoulder appeared I gave it a push with two fingers to the anterior it moved just a little into the oblique but then was finally out far enough for me to get a little finger under the arm and finally managed to get her out! Apgars 7 and 10. but as it was so slow and there were no ctx to assist with her being a big bub too, It was a bit hairy for a little while. Lucky she didnt have big enough ears or they might have ended up a little stretched!! LOL. Second stage was only 1hr 45min but I felt it was just way too slow birthing that head and those shoulders! Perhaps I should have been more trusting?? I hesitated in calling the Doc after an hour of pushing cause was on view at this stage and I thought he would have been too late by the time he came in. Probably would have been better to have him on standby just in case, I suppose. I just felt quite helpless and know that things ended up quite stressful for everyone in the room. I think I would have prefered to deal with a shoulder dystocia at least then I would have had a practiced sequence of events to go through!! Thought she might get away without a tear as birthed sooo slowly but peri went with the shoulders, 2nd degree peri tear (no too big) and a anterior labial that wasnt too bad either.(thank goodness, was after 3am by then, that time of night where you see double!)Did have synto at birth but needed to get her to squat to get placenta and had a constant trickle and (surprise surprise) a relaxed uterus, which was fine after another shot of Syntometrine (450 loss). My feelings are I probably should have been a little more pro active in getting the fluids up, maybe I erred on the non intervention side a little too long. Any other suggestions, how do you get a bub out with no Ctx and a tired mum? She did try nipple stimulation with little effect too. Cheers Di
Re: [ozmidwifery] Backward step
Well I'm glad I didn't wait for DE courses. They were talking about them when I first became interested in midwifery, during my second pregnancy. He was seven by the time I became a Midwife! That baby has just pulled out of my driveway in MY car, to take his girlfriend (born on the same day in same hospy, BTW) out for a picnic to celebrate their two year anniversary as a couple. He is sitting his HSC in a few weeks time. Time flys doesn't it Carolyn? That 9 1/2 lb boy is 18 in Feb, 6 ft 4in and 110kg (mostly just large not fat!) Di PS. I will be learning all about the little quirks of the "Queensland way" real soon. 5 1/2 weeks till moving day!! - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 4:11 PM Subject: RE: [ozmidwifery] Backward step Di thats fantastic! I wonder why we are so behind? I started my nursing training in 1997 and such a thing was unheard of. The mere fact that we havent got a direct-entry mid course is MAD! Even madder as I said before 12-months nursing is a pre-requisite for mid courses here! I wonder if there are plans for any QLD unis to get mid-only courses? Tiff From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of dianeSent: Monday, 2 October 2006 3:48 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Backward step Tiff, we have them in NSW too! Uni of Technology in Sydney. Di - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 3:30 PM Subject: RE: [ozmidwifery] Backward step Ganesha! Victoria has direct mid courses too?!! Thats awesome I thought it was only south Australia that did. If I had a choice I would not have done nursing just midwifery. My family is all doctors and nurses and I NEVER wanted to be a nurse. Im in Queensland and we still have to do nursing first we are s behind! My goal has always been to one day be an independent midwife and I have been ridiculed and dismissed by some of the nurses in my family because of this. Once I complete my mid training I wont nurse again but I am kind of glad now I have that skill René (husband) is a doctor doing GP training and wants to go into rural practice so I might be more equip to help him out if he needs as well as get into those rural areas where there is a need for midwives. This forum has been great guys thankyou youre have really helped me broaden my understanding! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ganesha RosatSent: Monday, 2 October 2006 2:39 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step Hi again guys, where is the nursing care in midwifery is an interesting point. When I began my grad. last year it was stressed to me that it was important to do some work in the nursing wards to enhance my midwifery skills. I think it was because I went through doing my nursing and midwifery together as a double degree (maybe unsure of my skills because I had never been a nurse). Like rene and tiffany I only did nursing to become a midwife. The year after I began my course direct midwifery courses were introduced in my state vic. I would have loved to have gone through that way. If we want others to respect our skills as midwives as unique and a separate profession, we need to acknowledge that midwifery is not a specialist nursing field. Cheers ganesha From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and TiffanySent: Monday, 2 October 2006 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step It has been fantastic reading all the responses to the nurse/midwife question. As a nurse about to begin midwifery training, I look forward to learning and developing the specialist skills you wonderful women have described! My original response stemmed from the fact that I became a nurse ONLY to become a midwife (as there was no other way at the time), but found that, I was unable to get any exposure to such, as training nurses and RNs are generally unwelcome in maternity. I would have given anything to have the opportunity to work and help out in maternity whilst waiting to secure a student midwife place. Instead I went straight into Mental Health after I qualified as an RN, whilst
Re: [ozmidwifery] Any ideas??
Why not have some midwives go to Malaysia for a homebirth for her? She could have her local hospital for backup and not have to remove herself from her family and friends. It may even be more affordable, anyone up for a months holiday in Malaysia? Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 01, 2006 3:41 PM Subject: RE: [ozmidwifery] Any ideas?? I know that the mid group practice at wch is offering water birth and there are also some independent prac midwifes who offer water birth in south Australia in the home. The woman would have to pay for all services naturally as she is not Australian and therefore covered by medicare what if she approached the practiconer independently and asked them. Cheers sharon From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Sunday, 1 October 2006 2:06 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Any ideas?? I have cared for a number of overseas visitors who have come to Perth to have their baby at home in the water. As she will have to pay for all her hospital care, she would have to also foot the bill for the hospital service. We do not have any hospitals that offer waterbirth. If it is possible, a hospital that offers waterbirth would cut out the double payment she would have to make if she needs transfer for additional obstetric care. If she is married to a Malaysian man, this is less likely than if married to a Caucasian. Cheers, M From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of lisa chalmersSent: Sunday, 1 October 2006 9:02 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Any ideas?? Hello to all , I received this email this morning and have no idea if what this woman wants is at all possible?? Has anyone got any experience of anything similar. i thinkits grest that she is actively persuing a birth experience that she wants and would love to give her some info. Many Thanks Lisa xxx Hello there.I would like to find out,is there such waterbirth laws in New Zealand also or only in SA? Is there any midwives services in New Zealand also? I'm actually a Malaysian,but i really want to have my child in Australia or New Zealand and not in Malaysia because my husband and i are very interested and really want to have an aqua baby due to all the benefits that waterbirth has and this service is not available here in Malaysia. I would really like to know how can i deliver our baby over there and how is the government's policy to go there and have a baby? Is it possible because we really want a waterbirth.Please do reply soon. Thank you very much for your cooperation.Regards,Jashpreet Kaur
Re: [ozmidwifery] Backward step
Working from a perspective of home midwifery care in the first week postpartum, there are many women experiencing significant problems even after experiencing midwifery care in hospital. I shudder to think what the problems may be without this care. Then again, if care was upgraded to provide good lactation care then most of the problems may be avoided as they are predominately breastfeeding related, for both mum and baby. Most healthy low risk women remain that way postnatally. There are not usually any medical or "nursing" duties to be done, unless they are C/S. Di - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 10:13 AM Subject: Re: [ozmidwifery] Backward step Going back to the maternity nurse or Gen/ Obstetric nurse workingin Midwifery ishow NZ worked in the 70's 80's. It was unsatisfactory then would be the same now, despite the fact the we did 6 months obsin our general training we weren't midwives it showed. I worked in mid whilst attending homebirths, worked in birth suite, postnatal, taught pre-natal classesspent 3 yearsin charge of SCN as a RGON in the early 80's when I went to train as a midwife justlike Di MI too found it a revelation. It's a retrograde step undermines all the recognition of your specialised professionyou Australian midwives have fought so hard for. It's just another path on: "follow the American leader". With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 9:54 AM Subject: Re: [ozmidwifery] RE: I agree Michelle, I too worked in a rural area prior to completing my Mid many years ago and can still remember the revelations I felt while learning Midwifery.As anRN non Midwife, I was quite ignorant of what a true Midwife's role involved. It was scarey stuff. Cheers Di M
Re: [ozmidwifery] Any ideas??
Wish I could but too long away from the family. Someone out there a little more nomadic? Di - Original Message - From: lisa chalmers To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 10:41 AM Subject: Re: [ozmidwifery] Any ideas?? Thanks Di, She has now decided this is the best option. So...how can she go about finding a midwife that can help her??? Its exactly the sort of thing I'd love to do, if I was a midwife! Would it be ok to post her email address in case any was interested? And thanks Sharon, I didnt get yourpost the first time, so was good to read and I will pass it on to her. Lisaxx - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 8:27 AM Subject: Re: [ozmidwifery] Any ideas?? Why not have some midwives go to Malaysia for a homebirth for her? She could have her local hospital for backup and not have to remove herself from her family and friends. It may even be more affordable, anyone up for a months holiday in Malaysia? Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 01, 2006 3:41 PM Subject: RE: [ozmidwifery] Any ideas?? I know that the mid group practice at wch is offering water birth and there are also some independent prac midwifes who offer water birth in south Australia in the home. The woman would have to pay for all services naturally as she is not Australian and therefore covered by medicare what if she approached the practiconer independently and asked them. Cheers sharon From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Sunday, 1 October 2006 2:06 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Any ideas?? I have cared for a number of overseas visitors who have come to Perth to have their baby at home in the water. As she will have to pay for all her hospital care, she would have to also foot the bill for the hospital service. We do not have any hospitals that offer waterbirth. If it is possible, a hospital that offers waterbirth would cut out the double payment she would have to make if she needs transfer for additional obstetric care. If she is married to a Malaysian man, this is less likely than if married to a Caucasian. Cheers, M From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of lisa chalmersSent: Sunday, 1 October 2006 9:02 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Any ideas?? Hello to all , I received this email this morning and have no idea if what this woman wants is at all possible?? Has anyone got any experience of anything similar. i thinkits grest that she is actively persuing a birth experience that she wants and would love to give her some info. Many Thanks Lisa xxx Hello there.I would like to find out,is there such waterbirth laws in New Zealand also or only in SA? Is there any midwives services in New Zealand also? I'm actually a Malaysian,but i really want to have my child in Australia or New Zealand and not in Malaysia because my husband and i are very interested and really want to have an aqua baby due to all the benefits that waterbirth has and this service is not available here in Malaysia. I would really like to know how can i deliver our baby over there and how is the government's policy to go there and have a baby? Is it possible because we really want a waterbirth.Please do reply soon. Thank you very much for your cooperation.Regards,Jashpreet Kaur No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.407 / Virus Database: 268.12.10/459 - Release Date: 29/09/2006
Re: [ozmidwifery] Backward step
I wonder how the government will deal with the doctor shortage.. maybe a dentist or vet ? The training isnt all that different Di - Original Message - From: Ganesha Rosat To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 2:38 PM Subject: RE: [ozmidwifery] Backward step Hi again guys, where is the nursing care in midwifery is an interesting point. When I began my grad. last year it was stressed to me that it was important to do some work in the nursing wards to enhance my midwifery skills. I think it was because I went through doing my nursing and midwifery together as a double degree (maybe unsure of my skills because I had never been a nurse). Like rene and tiffany I only did nursing to become a midwife. The year after I began my course direct midwifery courses were introduced in my state vic. I would have loved to have gone through that way. If we want others to respect our skills as midwives as unique and a separate profession, we need to acknowledge that midwifery is not a specialist nursing field. Cheers ganesha From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and TiffanySent: Monday, 2 October 2006 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step It has been fantastic reading all the responses to the nurse/midwife question. As a nurse about to begin midwifery training, I look forward to learning and developing the specialist skills you wonderful women have described! My original response stemmed from the fact that I became a nurse ONLY to become a midwife (as there was no other way at the time), but found that, I was unable to get any exposure to such, as training nurses and RNs are generally unwelcome in maternity. I would have given anything to have the opportunity to work and help out in maternity whilst waiting to secure a student midwife place. Instead I went straight into Mental Health after I qualified as an RN, whilst waiting for one of the 6 midwifery training positions that are offered. Perhaps this does raise the issue about providing more training places for student midwives, and why is it that we have to work as NURSES for a minimum 12 months before we can train as midwives, when as many have pointed out where is the nursing care in midwifery? Thanks J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of brendamanningSent: Monday, 2 October 2006 10:13 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Backward step Going back to the maternity nurse or Gen/ Obstetric nurse workingin Midwifery ishow NZ worked in the 70's 80's. It was unsatisfactory then would be the same now, despite the fact the we did 6 months obsin our general training we weren't midwives it showed. I worked in mid whilst attending homebirths, worked in birth suite, postnatal, taught pre-natal classesspent 3 yearsin charge of SCN as a RGON in the early 80's when I went to train as a midwife justlike Di MI too found it a revelation. It's a retrograde step undermines all the recognition of your specialised professionyou Australian midwives have fought so hard for. It's just another path on: "follow the American leader". With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 9:54 AM Subject: Re: [ozmidwifery] RE: I agree Michelle, I too worked in a rural area prior to completing my Mid many years ago and can still remember the revelations I felt while learning Midwifery.As anRN non Midwife, I was quite ignorant of what a true Midwife's role involved. It was scarey stuff. Cheers Di M __ NOD32 1.1784 (20060929) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Backward step
Tiff, we have them in NSW too! Uni of Technology in Sydney. Di - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 3:30 PM Subject: RE: [ozmidwifery] Backward step Ganesha! Victoria has direct mid courses too?!! Thats awesome I thought it was only south Australia that did. If I had a choice I would not have done nursing just midwifery. My family is all doctors and nurses and I NEVER wanted to be a nurse. Im in Queensland and we still have to do nursing first we are s behind! My goal has always been to one day be an independent midwife and I have been ridiculed and dismissed by some of the nurses in my family because of this. Once I complete my mid training I wont nurse again but I am kind of glad now I have that skill René (husband) is a doctor doing GP training and wants to go into rural practice so I might be more equip to help him out if he needs as well as get into those rural areas where there is a need for midwives. This forum has been great guys thankyou youre have really helped me broaden my understanding! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ganesha RosatSent: Monday, 2 October 2006 2:39 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step Hi again guys, where is the nursing care in midwifery is an interesting point. When I began my grad. last year it was stressed to me that it was important to do some work in the nursing wards to enhance my midwifery skills. I think it was because I went through doing my nursing and midwifery together as a double degree (maybe unsure of my skills because I had never been a nurse). Like rene and tiffany I only did nursing to become a midwife. The year after I began my course direct midwifery courses were introduced in my state vic. I would have loved to have gone through that way. If we want others to respect our skills as midwives as unique and a separate profession, we need to acknowledge that midwifery is not a specialist nursing field. Cheers ganesha From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and TiffanySent: Monday, 2 October 2006 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step It has been fantastic reading all the responses to the nurse/midwife question. As a nurse about to begin midwifery training, I look forward to learning and developing the specialist skills you wonderful women have described! My original response stemmed from the fact that I became a nurse ONLY to become a midwife (as there was no other way at the time), but found that, I was unable to get any exposure to such, as training nurses and RNs are generally unwelcome in maternity. I would have given anything to have the opportunity to work and help out in maternity whilst waiting to secure a student midwife place. Instead I went straight into Mental Health after I qualified as an RN, whilst waiting for one of the 6 midwifery training positions that are offered. Perhaps this does raise the issue about providing more training places for student midwives, and why is it that we have to work as NURSES for a minimum 12 months before we can train as midwives, when as many have pointed out where is the nursing care in midwifery? Thanks J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of brendamanningSent: Monday, 2 October 2006 10:13 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Backward step Going back to the maternity nurse or Gen/ Obstetric nurse workingin Midwifery ishow NZ worked in the 70's 80's. It was unsatisfactory then would be the same now, despite the fact the we did 6 months obsin our general training we weren't midwives it showed. I worked in mid whilst attending homebirths, worked in birth suite, postnatal, taught pre-natal classesspent 3 yearsin charge of SCN as a RGON in the early 80's when I went to train as a midwife justlike Di MI too found it a revelation. It's a retrograde step undermines all the recognition of your specialised professionyou Australian midwives have fought so hard for. It's just another path on: "follow the American leader". With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 9:54 AM Subject: Re: [ozmidwifery] RE: I agree Michelle, I too worked
Re: [ozmidwifery] FYI news article
Not everyones home is a haven. For some it can represent other moreless savourythings, the least of being an ongoing place of toil, the worst being a place of fear and domestic violence. The memories flood of a half renovated (for 10 yrs), with no internal walls in places, no floor coverings, an outdoor loo, cockroaches and fleas in summer and endless piles of childrens washing waiting to be folded. Now I am home visiting womenafter the birth, (anytimefrom four hours after birth), and seeing much the same thing at times. So I guess although the five star option is there for those who can afford private cover, the gold star option of a midwife visiting them at home (so much as it sometimes is) is happening and available for those in a very low socioeconomic area. Soon whith our area moving to midwifery group practice, many of the women will have a known midwife visiting them, already I know many that I visit. To Janet and her supporters, your work is so valuable. JB is so valuable. BUT the tone of your posts is inflamatory and defensive. Guess what Felicity, even I ,who spends endless hours on the internet , had not heard of JB before joining this list, I have not seen the physical presence in the community or stumbled across it online at other times. To me that doesnt mean those who are on JB arent doing fantastic work, but so is Kelly, Pinky, Sarah Buckley, Andrea, Brenda Manning, Jan Cornfoot and all of the others who run commercial style programs. If women get the message, some education about normal birth, what does it matter. I dont find any of the information watered down, just presented in a gentle commercial style that women are used to. Whats wrong with marketing to the masses if the product is good? Isn't that what we want? More women having natural, satisfying births no matter the setting. They will still tell their friends it is possible and women will regain the ownership of birth, they will not see the need for an OB. We are all working towards the same end from different directions. This is an important aspect of facilitating change. If the 'long haired hairy leggged hippy homebirth faction' (the words of a friend of mine) are the only ones speaking then many will not hear BUT in any action it is important to have the vocal, radical faction to wave the banners, climb the trees etc to draw attention to the cause. I want to save the forests but wont sit in a tree, I will write letters to the pollies!. But thank God for the tree sitters for getting the media on to it! JB keep tree sitting, Kelly keep on keeping on. I first became interested in Midwifery 19yrs ago when preg with my second. I was a postnatally depressed out of work, impoverished electrician with a little baby and a bad relationship. Now that there is some mainstream discussion and commercial exposure I am finally starting to see some hope. 19yrs ago I was part of a group that tried to promote natural birth, this was before the internet, but not dissimilar to JB. That approach has been tapping away forever with small but significant gains. If there are enough women to support commercial enterprises that focus on natural birth, then we are definitely well on our way to success. There is no way that anyone could have made a living out ofnormal birth back then, andnow many are following their passion.If there are publicly funded homebirths happening, we are on our way to success. When we have things like this to bicker over, then we are on our way to success. We should be celebrating, not undermining each others success. Di - Original Message - From: Lisa Barrett To: ozmidwifery@acegraphics.com.au Sent: Friday, September 22, 2006 4:11 PM Subject: Re: [ozmidwifery] FYI news article I- Every contribution counts and whilst I think I understand the point you're trying to make about reaching the mainstream, it's dangerous to begin tempering our message to better enable us to begin "marketing" it to the majority gratuitously - women and babies are not a market and our integrity is not for sale. I fear the overstepping of that invisible line that would transform us into nothing too different from the Obs and Hospys - big business, marketed to the masses (for instance, in my personal experience, your forum/site needs to compromise a lot in order to appeal to the larger membership you enjoy; this results in some less than optimal advertising and advice, and the sad loss of some wonderful contributions and items. Do the ends justify the means? That's a decision we each need to make, and your contribution is still significant, though not necessarily in the form I would personally choose for myself). What is the point of a message reaching more people if the message has had to be diluted and perhaps changed in order to get there? Nothing is simple and these
Re: [ozmidwifery] lactation consultant query
Hi Michelle, Im up for my first recertification in 2009. I could just resit the exam or get enough CERPS. Both arent cheap. Finding time to keep up with both midwifery and lactation conferences is hard and expensive. I can probably only justify one every two years to be fair on my family! I think with a lot of people though,that unless they are working within a position where LC qualifications are essential then they see little value in the recertification. They have the knowledge, they are utilising it as midwives without having to have an expensive recertification. There are few positions that require IBCLC qualifications. Usually only hospital LC or private practice. I intend the latter, so will be working on getting the CERPS. I did a fantastic course through our area health service, facilitated by our area CMC lactation, and partially funded by our department. We have squillions of IBCLCs on the coast due to this course (over 100 in past 5 yrs). Di - Original Message - From: Michelle Windsor To: Ozmidwifery Sent: Friday, September 22, 2006 4:45 PM Subject: [ozmidwifery] lactation consultant query Hi, Am posting again as the first one didn't seem to come through.I'm thinking of doing the LC course, but have noticed (in my travels) that lots of LC's let their qualification lapse when the 5 years is up. Just wondering if anyone can shed some light on this is it the money? or too hard to attend BF conferences etc? I'd also be interested in which courses people found to be good. The Health e-learning has been recommended to me. Thanks Michelle On Yahoo!7Messenger: Make free PC-to-PC calls to your friends overseas.
Re: [ozmidwifery] FYI news article
LOL , was my response to her almost! - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Friday, September 22, 2006 6:28 PM Subject: Re: [ozmidwifery] FYI news article 'long haired hairy leggged hippy homebirth faction' Oh Diane that's a crack up, made me laugh a lot to hear that old furphy still getting a work out : ) Please let your friend know that statistically home birthing women are middle class and tertiary educated. Tree loving or leg shaving I cannot vouch for but maybe we should run polls on it. Funny how women who act from scientific evidence are depicted, isn't it?! : ) J - middle class, tertiary educated, lover of shoes, lipstick and home birth, never confused with a hippy when viewed in person : )
[ozmidwifery] agonising pain described by Vic govt
OMG, check this out Childbirth - pain relief options The current popularity of natural childbirth can make some pregnant women believe that using pain-relieving drugs during labour is weak or a sign of failure. However, childbirth is one of the most painful experiences the human body can ever have. Some women are lucky and have relatively short, easy labours, while others experience long, agonising ordeals. If you planned for a natural birth but find the labour pains overwhelming, dont be reluctant to ask for pain relief. Childbirth isnt a moral or political judgement of your performance - the aim is simply to bring your baby into the world. http://www.disability.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Childbirth_pain_relief_options?OpenDocument
Re: [ozmidwifery] FYI news article
Absolutely! I know I love to be with my family, but throw in great meals, a spa bath and a midwife to help in an environment where I would do nothing but rest and care for bub, not home where the washing is piling up and the other kids are getting bored. Hmm, why not a luxury midwifery led post natal unit? Surely the health funds would pay for that? BB with a kids club and a midwife on call, sounds like a lovely babymoon. Di PS: Kelly I would be keen on the marketing workshops. Just thinking on the three things. - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 21, 2006 5:23 PM Subject: RE: [ozmidwifery] FYI news article I could be on the wrong track here. but perhaps at the bottom of all this is somewomen's desire (maybe subconsciously) for something special (the 5 star hotel)to acknowledge what an amazing person she is to be a mother and to have birthed a baby.Unlike some other cultures, our society as a whole doesn't seem to value mothers very highly. "What does she do?Oh she just had kids.." Even women themselves often identify themselves as 'just a mum' or 'just a housewife'. Maybe if women were acknowledged and celebrated in other ways for the wonderful work they do in birthing and mothering and provided with excellent support, staying in a 5 star hotel wouldn't be so appealing. Cheers Michelle"Kelly @ BellyBelly" [EMAIL PROTECTED] wrote: I posted the article on my forums, here is what women think of the idea be it what you agree with or not this is what THEY think so maybe we can get some ideas or learn something from this: http://www.bellybelly.com.au/forums/showthread.php?p=439579 Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Thursday, 21 September 2006 8:27 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] FYI news articleImportance: High The Caroline flint you have contacted is a politician, not the midwife. Try putting midwife in front of the google search. It is confusing to have two high profile people with the same name. MM From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Vedrana ValcicSent: Wednesday, 20 September 2006 6:11 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] FYI news article Where can I find out more about her marketing strategies? Midwives in Croatia would certainly appreciate info about effective marketing strategies. I found this site: http://www.carolineflint.co.uk/news/news.htm, but I dont know if there is something more detailed. Vedrana From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary MurphySent: Wednesday, September 20, 2006 11:11 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] FYI news article The woman who best markets midwifery is Caroline Flint in the UK. We should copy her marketing strategies. MM Kelly says..If we want women to accept and value the midwife then it needs to be marketed better, it needs to be trendy and jazzed up! Not just a choice being two sides of the fence with opposing views as it is now. And they want to know what it will do for THEM and what THEY will get out of it. At the moment there are very many women who do not see birth as something that needs to be in the home or is safe in home thats just a fact which we have to work on. On Yahoo!7Messenger: Make free PC-to-PC calls to your friends overseas.
Re: [ozmidwifery] New South Wales Health Booklet on Breastfeeding
Its Great. I have been soo waiting for this to come out as where I work we have been making up 'breasfeeding packages' with most of this info and fact sheets etc for over a year. It is very time consuming. Now this is out we can just give them the booklet! We also have a breasfeeding discussion sheet that mums fill out on their knowledge and learning needs, a BF risk assessment form (breast exam, any surgery etc) an an antenatal discussion list to attend at visits, that we have developed. Seems to be working well when we have the time to attend to them. Cheers, Di - Original Message - From: Pinky McKay To: ozmidwifery@acegraphics.com.au Sent: Friday, September 22, 2006 8:40 AM Subject: Re: [ozmidwifery] New South Wales Health Booklet on Breastfeeding looks great! Pinky - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Friday, September 22, 2006 7:49 AM Subject: [ozmidwifery] New South Wales Health Booklet on Breastfeeding HI, Very impressive http://www.health.nsw.gov.au/pubs/2006/pdf/breastfeeding_booklet.pdf Barb GlareMum of Zac, 12, Daniel, 10, Cassie 7 Guan 3Counsellor, Warrnambool Vic[EMAIL PROTECTED] ** Ph (03) 5565 8602Director, Australian Breastfeeding AssociationMothers Directwww.mothersdirect.com.au
Re: [ozmidwifery] New South Wales Health Booklet on Breastfeeding
Julie, you need to put .au on the finch link. Di - Original Message - From: Julie Clarke To: ozmidwifery@acegraphics.com.au Sent: Friday, September 22, 2006 9:11 AM Subject: RE: [ozmidwifery] New South Wales Health Booklet on Breastfeeding Yes very impressive thank you Barb for passing it along to us I have just sent the link to a group I had the other night who commented they were concerned about remembering what Id told them on the art of breastfeeding so what a help to support the info in pre-natal classes. Heres a copy Hi everyone, If you were concerned about the art of breastfeeding and trying to remember many of the points Ive passed on to you, Im delighted to be able to present you with this link below to a excellent booklet by the dept of Health on breastfeeding. Its very well laid out, easy to read, and covers the basics. http://www.health.nsw.gov.au/pubs/2006/pdf/breastfeeding_booklet.pdf You may have noticed they refer to ABA Australias Breastfeeding Association www.breastfeeding.asn.au As well as Breastfeeding with Confidence by Sue Cox this is available from Mothers Direct www.mothersdirect.com.au Or Finch Publishers www.finch.com Kind regards, 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 From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Barbara Glare Chris BrightSent: Friday, 22 September 2006 7:50 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] New South Wales Health Booklet on Breastfeeding HI, Very impressive http://www.health.nsw.gov.au/pubs/2006/pdf/breastfeeding_booklet.pdf Barb GlareMum of Zac, 12, Daniel, 10, Cassie 7 Guan 3Counsellor, Warrnambool Vic[EMAIL PROTECTED] ** Ph (03) 5565 8602Director, Australian Breastfeeding AssociationMothers Directwww.mothersdirect.com.au
Re: [ozmidwifery] porta cots
Iremember something like this happening 20 yrs ago when I had my first son. There were warnings then too. The other issue is thet the extra matress changes the height of the sides which can create a falling risk too. I always just used a sheepskin instead (regularly tumbledryed to de-dust and knock off the dust mites) Cheers, Di - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Friday, September 22, 2006 9:27 AM Subject: [ozmidwifery] porta cots Did everyone see 9am this morning there was a story about porta cots. A baby died when it became trapped down the side of an additional mattress that the parents had put into the porta cot because they felt that the one that came with the cot was too hard. The coroner has asked that a warning be spread to all parents that no additional mattress be put into porta cots as it makes it potentially dangerous. The mattress provided is firm for a reason as it prevents the baby from getting trapped down the side of the mattress between the soft sides of the cot and the mattress. Please pass this on to all you friends and remove any foam matress that you have added to your cots Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] re birth story
Looks like we are all working hard together, in different ways, toward the same outcome. I believe we will get there, even if governments and policy makers only agree on a costs basis. That is why caseload is able to get off the ground in some areas. Gosford and Wyong are starting soon! Di - Original Message - From: Lisa Barrett To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 14, 2006 6:00 PM Subject: Re: [ozmidwifery] re birth story and don't forget Tania, you run the meet a midwife sessions at naturescradle in your own time and at no cost to the consumer. When it gets established this has a great potential for helping women with birth choices. Lisa Barrett - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 14, 2006 4:15 PM Subject: RE: [ozmidwifery] re birth story Just chiming in, we have three very active consumer based birth support/education groups here in Adelaide, CARES, the caesarean support group, Birth Matters SA, a more generic info group where women gather and talk about where to get good information, and how to get a good/better birth, and the Homebirth Network of SA, which has been clocking over 40 women a month at our regular coffee mornings! Not bad for a group that only 3 years ago had two or three women turning up… there are small but significant communities out there, and yes, there does need to be more of a commercial feel about some of it. Unfortunately we live in a time where many people think that the more you pay for something, the more it is worth. Hence a few of our information nights such as a waterbirth info night, attracted a lot more interest when we advertised it as $15 per couple, than when we held Birth Choices nights for free…that’s just how it is, and if you can charge for something, and then plough the profits back into more advertising in the mainstream, or into your library or newsletters etc, then that’s great. Also agree with Barb, the ABA was a lifesaver for me with a new baby and in a remote place as a new mum… Tania --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.12.3/447 - Release Date: 13/09/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.12.3/447 - Release Date: 13/09/2006
Re: [ozmidwifery] re birth story
I know of many women who really baulk at making contact with a 'group' of some sort where they need to phone in or go to a meeting place. I agree Tania, that consumer society must feel they have to pay for something for it be valuable, pretty sad, but true. I'm hoping to access those women and their families who just stumble upon the information about courses and groups by coming browsing in the 'shop' part, some people don't know what they want until it is front of them. This makes sense as, many women don't know what choices they have until they hear about others, and if birth isn't in the everyday tearoom discussions, then women just don't hear about it. Their Doctor isn't likely to tell them! Even in our public systemwomen just don't know what their choices are until they come to book in. Usually the GP asks if theyhave private health cover, if they do, they ask which OB they want to see. Most of the women's mothers just ask when they get to see the doctor! If we can get to those who don't know what to look for , then we might get somewhere. JB getting out to fetes etc is one way,and things like IWD and RTN, but I think that many of those women are already wellinformed and politically motivated. Its the others, the mainstream, that I hope to get to. When we get to them, they can then get information about different groups and maybe gain confidence to join ABA and other groups. Cheers Di - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 14, 2006 4:45 PM Subject: RE: [ozmidwifery] re birth story Just chiming in, we have three very active consumer based birth support/education groups here in Adelaide, CARES, the caesarean support group, Birth Matters SA, a more generic info group where women gather and talk about where to get good information, and how to get a good/better birth, and the Homebirth Network of SA, which has been clocking over 40 women a month at our regular coffee mornings! Not bad for a group that only 3 years ago had two or three women turning up… there are small but significant communities out there, and yes, there does need to be more of a commercial feel about some of it. Unfortunately we live in a time where many people think that the more you pay for something, the more it is worth. Hence a few of our information nights such as a waterbirth info night, attracted a lot more interest when we advertised it as $15 per couple, than when we held Birth Choices nights for free…that’s just how it is, and if you can charge for something, and then plough the profits back into more advertising in the mainstream, or into your library or newsletters etc, then that’s great. Also agree with Barb, the ABA was a lifesaver for me with a new baby and in a remote place as a new mum… Tania --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.12.3/447 - Release Date: 13/09/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.12.3/447 - Release Date: 13/09/2006
Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors
Title: Message Keep up the good work Annette! I had this discussion with my mum last night (she is a midwife/nurse who has been working contracts in rural areas for a while), her arguement was, "where will they get the midwives to do it?" . I feel that more midwives would move to rural areas if they didnt have to work as nurses, and as Annette has shown, more women will train as midwives if that is where their passion lies. Di - Original Message - From: Tony Annette Rockley To: ozmidwifery@acegraphics.com.au Sent: Wednesday, September 13, 2006 8:22 PM Subject: RE: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors Thanks Justine for those kind words - I needed a little boost like that. Yes there are some great ENs working out in rural areas - I think what makes them good is their passion (which is why I doing my BMid). Midwifery is a special field all of its own - I was encouraged to do my RN training, but knew I would never finish because that was not where my passion lay! The other point I would like to add is why can't the powers that be see how economical this option (caseload) is?? Not rocket science either!! Regards Annette -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine CainesSent: Tuesday, September 12, 2006 7:35 PMTo: OzMid ListSubject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctorsDear Barb, Melissa and allI too live in rural Aust and understand the issues esp that there are many good ENs out there. We have a local one who is doing the Bmid at UTS (hooray!).I guess the point is that if the opening up of Medicare Item number 16400 goes through then this will be able to happen.Essentially with Mr Abbotts approach there is no need for midwives to exist. I use the building analogy. It is like saying to an Electrician - Sorry we wont support you doing your trade, and by the way we will also enable Carpenters and Plumbers to do electrical work, after al they are all in the building industry!!These moves affect EVERY midwife, because they totally disregard midwifery expertise (despite many hard-fought wins of recent years to distingusih nursing from midwifery) This goes backwards from what we had before.Remember this will also enable GPs without a Dip Obs to provide antenatal care and essentially oversee a RN without midwifery.Naturally, if midwives were employed on a caseload basis even in small rural areas units could operate. Also managers would be better placed recruiting straight RNs for AE etc etc rather than the RN/RM issue. Get midwives as midwives and RNs as RNs. Not rocket science!!In solidarityJustine
Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors
Title: Message Hi, Just had a thought, Justine, has anyone pitched the campaign to Getup? If they were to adopt it , there would be massive coverage. If many of us suggest it to them it might get a look in. Di If you have a good idea for a new GetUp campaign on an important national issue, then we would love to hear about it. If you can, tell us the focus of the campaign and suggest the action the campaign would ask our members to take.Send your campaign ideas to [EMAIL PROTECTED]. - Original Message - From: Tony Annette Rockley To: ozmidwifery@acegraphics.com.au Sent: Wednesday, September 13, 2006 8:22 PM Subject: RE: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors Thanks Justine for those kind words - I needed a little boost like that. Yes there are some great ENs working out in rural areas - I think what makes them good is their passion (which is why I doing my BMid). Midwifery is a special field all of its own - I was encouraged to do my RN training, but knew I would never finish because that was not where my passion lay! The other point I would like to add is why can't the powers that be see how economical this option (caseload) is?? Not rocket science either!! Regards Annette -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine CainesSent: Tuesday, September 12, 2006 7:35 PMTo: OzMid ListSubject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctorsDear Barb, Melissa and allI too live in rural Aust and understand the issues esp that there are many good ENs out there. We have a local one who is doing the Bmid at UTS (hooray!).I guess the point is that if the opening up of Medicare Item number 16400 goes through then this will be able to happen.Essentially with Mr Abbotts approach there is no need for midwives to exist. I use the building analogy. It is like saying to an Electrician - Sorry we wont support you doing your trade, and by the way we will also enable Carpenters and Plumbers to do electrical work, after al they are all in the building industry!!These moves affect EVERY midwife, because they totally disregard midwifery expertise (despite many hard-fought wins of recent years to distingusih nursing from midwifery) This goes backwards from what we had before.Remember this will also enable GPs without a Dip Obs to provide antenatal care and essentially oversee a RN without midwifery.Naturally, if midwives were employed on a caseload basis even in small rural areas units could operate. Also managers would be better placed recruiting straight RNs for AE etc etc rather than the RN/RM issue. Get midwives as midwives and RNs as RNs. Not rocket science!!In solidarityJustine
[ozmidwifery] GetUp!
Hi All, The Rural birth campaign is of vital importance. See info on the maternity coalition page http://www.maternitycoalition.org.au/ If lots of us email GetUp they may consider taking up this campaign! Di If you have a good idea for a new GetUp campaign on an important national issue, then we would love to hear about it. If you can, tell us the focus of the campaign and suggest the action the campaign would ask our members to take.Send your campaign ideas to [EMAIL PROTECTED].
Re: [ozmidwifery] re birth story
That's a great article Pinky. One of my visions is to create a community of women where positive birth stories are told. I'm hoping to develop a 'birthplace' where women can access services, classes, alternate therapies, groups, resources and products, to help change the culture at least at a local level. I attended the Calmbirth course last week, which was great. One of the most interesting things was meeting midwives and doulas from all over the country, and hearing their different stories. We have little pockets here and there in this country where natural birth and homebirth is not considered to be too radical. The culture in Melbourne is so different, there are doula's and homebirth midwives everywhere, where in other parts of the country they are unheard of! Places like Bellingen, the north coast of NSW, Toowoomba have their own little sub-cultures that are growing. We need to act locally for a sub - culture to develop, that then becomes part of a wider movement. The more positive stories that hit the 'mainstream' , the more momentum is gained. (thanks Pinky and Kelly, and all of you who vocally and publicly advocate for natural birth!) Cheers, Di - Original Message - From: Pinky McKay To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 14, 2006 8:52 AM Subject: [ozmidwifery] re birth story Hi all, I have just thought some of you may be interested in reading my "column' about my daughters waterbirth - it was published as one of my monthly columns in Practical Parenting a few months ago and is up on my website - every little bit helps, as they say. http://www.pinky-mychild.com/features/pregnancy/family_born.html Pinky
Re: [ozmidwifery] re birth story
Great, thats fantastic to get a public presence. I
do recall seing a thing about a meet the midwife in Melbourne. Not much of that
type of thing happening on Central coast NSW or Newcastle area.
Anyone around Mackay area know of any of these
types of groups ?
Di
- Original Message -
From:
Janet
Fraser
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, September 14, 2006 12:00
PM
Subject: Re: [ozmidwifery] re birth
story
Di JB meets face to face in Sydney,
Melbourne, Brisbane, Adelaide, Hobart, Blue Mountains and Albury Wodonga.
That's definitely in the community! We go to fetes, expos, feminist occasions
like IWD and RTN, we lend books, videos, magazines and birth pools to members
and nonmembers alike. There are a couple of shops in Adelaide that are
AP-focussed and run community gatherings as well as carrying stock like
slings, hammocks, nappies etc. The "meet the midwife" days are going really
well there too!
: )
J
- Original Message -
From:
diane
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, September 14, 2006
11:53 AM
Subject: Re: [ozmidwifery] re birth
story
That's right Janet, i know these online
communities exist for those who seek them out or find them. What Im looking
at is a physical presence in the community, where people gather, for info,
friendship,access to services and advice. Iwould love granny to be
doing her groceries and spot the shopfront and come in for a look at the
products then find out about the services and groups etc that are available
, then take her info home to her pregnant grandaughter who will share with
her friends. I dont really want a retail style thing but a few product lines
like slings etc to draw people in. The more in one physical community that
are exposed to normal birth, the more the good stories
perpetuate.
Di
- Original Message -
From:
Janet
Fraser
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, September 14, 2006
11:25 AM
Subject: Re: [ozmidwifery] re birth
story
Di you're describing Joyous
Birth LOL. We have about 600 online members who meet all over Australia
regularly and do exactly what you're talking about! But you knew this, I'm
sure : )
How lovely!
J
- Original Message -
From:
diane
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, September 14, 2006
9:18 AM
Subject: Re: [ozmidwifery] re birth
story
That's a great article Pinky. One of my
visions is to create a community of women where positive birth stories
are told. I'm hoping to develop a 'birthplace' where women can access
services, classes, alternate therapies, groups, resources and products,
to help change the culture at least at a local level. I attended the
Calmbirth course last week, which was great. One of the most interesting
things was meeting midwives and doulas from all over the country, and
hearing their different stories. We have little pockets here and there
in this country where natural birth and homebirth is not considered to
be too radical. The culture in Melbourne is so different, there are
doula's and homebirth midwives everywhere, where in other parts of the
country they are unheard of! Places like Bellingen, the north coast of
NSW, Toowoomba have their own little sub-cultures that are growing. We
need to act locally for a sub - culture to develop, that then becomes
part of a wider movement. The more positive stories that hit the
'mainstream' , the more momentum is gained. (thanks Pinky and Kelly, and
all of you who vocally and publicly advocate for natural
birth!)
Cheers,
Di
- Original Message -
From:
Pinky McKay
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, September 14,
2006 8:52 AM
Subject: [ozmidwifery] re birth
story
Hi all, I have just thought some of you
may be interested in reading my "column' about my daughters waterbirth
- it was published as one of my monthly columns in Practical Parenting
a few months ago and is up on my website - every little bit helps, as
they say.
http://www.pinky-mychild.com/features/pregnancy/family_born.html
Pinky
Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors
I too have seen a EN on the ward where my daughter was, telling her to wake her baby because she hadnt been fed for seven hours, A) this was incorrect, B) there was no reason to wake the babe even if it was C) when asked , she said she was just told to make sure babe fed (? from the one midwife on the ward) because "we like them to feed four hourly". Its a difficult position to see young women being made to feel inadequate or unsure of themselves from unqualified care even if it isnt a 'dangerous' situation. As an LC I work hard to encourage women and midwives to let the process unfold naturally. I did lots of training to get where I am and feel that it is an insult for just anyone to be able to provide the care under the guise of government policy. Cheers, Di - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 12, 2006 11:15 PM Subject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors Sadly I have in the last year seen ante natal care provided by RNs. I was troubled by the practise of an RN who had let her mid rego lapse and had not worked as a midwife for 14 years, and then given the job of providing antenatal care to the women of a remote town. Management saw no problems with this when I spoke of my concerns. The WA nurses board were not concerned, and I thought they were the protectors of the public!! It is imperative that our role be clear to the decision makers. By the way I no longer work in that area. Cath - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 12, 2006 4:45 PM Subject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors Having previously spent many years as a rural and remote nurse and midwife I have NEVER seen a nurse provide antenatal care to women. We worked with a nurse or enrolled nurse to provide guided assistance to ward clients or as a second person attending a birth. Melissa - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 12, 2006 1:10 PM Subject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors It'sscary stuff when people in those high places (parliament)making those decisions are not aware of all the facts. However as a Nurse and Midwife from the bush I don't think I have ever seen anynursewho is not a Midwife give antenatal care to women. Cheers Di
Re: [ozmidwifery] c/s and other stats for mid led units
the Ryde info can be found here, http://www.acegraphics.com.au/articles/rydemidwifery.html cheers, Di - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 27, 2006 5:52 PM Subject: [ozmidwifery] c/s and other stats for mid led units Hi all, Just doing a bit of my own research, and wondering if there are any stats yet for the newly formed midwifery led units such as Ryde, St George etc. I have access to the ones that have been issued for the Women’s and Children’s in Adelaide (MGP), but I suppose there is also the Canberra one (is that still running) and also the Perth community midwifery programme. Having just figured out what our personal stats for 5 years in practice together are, I’d like to be able to compare with these groups if the info is out there…anyone? Tania --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006
Re: [ozmidwifery] c/s and other stats for mid led units
The Wyong info would be as per the Mothers and Babies report. We have been a low risk unit with no inductions or epidurals for quite sometime, but the criteria was tightened to reflect the ACMI referal guidelines less than 12mths ago when we re-opened after a period of closure due to inadequate medical backup. So good data for this period would not be available yet. Belmont has had 12mths up as of July. Im sure Carolyn Hastie could give you this info (I believe she is away at the Qld conference in Noosa this weekend though). Di - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 27, 2006 5:52 PM Subject: [ozmidwifery] c/s and other stats for mid led units Hi all, Just doing a bit of my own research, and wondering if there are any stats yet for the newly formed midwifery led units such as Ryde, St George etc. I have access to the ones that have been issued for the Women’s and Children’s in Adelaide (MGP), but I suppose there is also the Canberra one (is that still running) and also the Perth community midwifery programme. Having just figured out what our personal stats for 5 years in practice together are, I’d like to be able to compare with these groups if the info is out there…anyone? Tania --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006
Re: [ozmidwifery] Insurance for midwives
Thanks Barb, Is there any move toward credentialling in Queensland? I am moving there in November but would have credentialled here in NSW if I had, had the time before I go. Cheers Di - Original Message - From: Dr Barbara Vernon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 22, 2006 5:35 PM Subject: FW: [ozmidwifery] Insurance for midwives Dear Dianne and all, I'm sorry if the information I have provided is not clear. Happy to provide more information to anyone interested if you want to email me directly. We have posted some information about the Contracting Advantage Service on our website today. Under What's News on the home page. www.acmi.org.au http://www.acmi.org.au/ The reference below to all areas of practice refers to antenatal, intrapartum and postnatal care. The reference to 'in all settings' refers to hospitals, the rooms of GPs or specialists, and the community (including homebirth). As this company, Contracting Advantage, offers business support services to a host of contractors, it operates on a commission basis, whereby it provides insurances (Professional indemnity, workers compensation and public liability, if midwives want all of these) as well as taking up BAS reporting requirements to the tax office. So instead of having to do quarterly BAS statements, contractors using this service have 20% flat tax deducted from the fee for each service they provide and paid by Contracting Advantage to the tax office on their behalf. These services are provided for a commission of 5%. The attractive thing about this service is that it will provide midwives with the flexibility to embark on a small private practice around the commitments they might have in an employed position with minimum costs. For example, a midwife working in a hospital, might wish to drop back to a 0.8 load, and pick up some private postnatal care, following women discharged from hospital by providing private care to them in their homes. Or a midwife might wish to offer private antenatal classes around her employed responsibilities to a hospital or health service. Re the impending Medicare item number that the federal government proposes to introduce for women in rural and remote areas, midwives wishing to offer women antenatal care could sign up with Contracting Advantage, obtain professional indemnity and then 'consult' GP practices in their district on a contracting basis instead of having to be employed. Thus a rural midwife might have 3 or 4 GP practices she visits at agreed times and days to provide the antenatal care to the GP's clients. The GP would claim these services on Medicare and pay the midwife a fee for her service. This model creates the potential for midwives to retain greater professional autonomy and responsibility in providing such care, and is expressly provided for in the description for the new antenatal item number. Anyone wanting more information about the Contracting Advantage service is welcome to phone me at the College, or send me an email. Kind regards, Barb Dr Barbara Vernon Executive Officer Australian College of Midwives 1/97 Northbourne Ave, TURNER ACT Ph +61 2 6230 7333 Mob 0438 855 529 From: diane [EMAIL PROTECTED] Date: 21 August 2006 2:20:05 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Insurance for midwives Reply-To: ozmidwifery@acegraphics.com.au I emailed ACMI and got this response. Still not sure vwhat it means and will ask them to clarify, especially all areas of practice in all settings Cheers, Di Your interest in this insurance option is welcome. I have added your name to the list of interested midwives. We need 200 midwives before CA will purchase the indemnity. It will cover all areas of practice in all settings for between $10-$20m I'm advised. You don't need to have a business name or even an ABN to sign on with them. There's no cost for signing on to their books, and you only pay them anything as you work and use the PI cover. Once we have 200 we'll forward them to CA who will approach people directly. If you'd like them, the direct details for the CA are below: Anne O'Connor [EMAIL PROTECTED] www.contractingadvantage.com 0416 728 886 Dr Barbara Vernon Executive Officer Australian College of Midwives 1/97 Northbourne Ave, TURNER ACT Ph +61 2 6230 7333 Mob 0438 855 529 - Original Message - From: mailto:[EMAIL PROTECTED] Tania Smallwood To: mailto:ozmidwifery@acegraphics.com.au ozmidwifery@acegraphics.com.au Sent: Monday, August 21, 2006 11:35 AM Subject: RE: [ozmidwifery] Insurance for midwives Hi Joanne, Where exactly are we meant to be looking on the ACMI website for this information? I've searched, and can't put a finger on it... Tania _ From: mailto:[EMAIL PROTECTED] [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Joanne and Steve Fisher Sent: Friday, 18 August 2006 5:27
Re: [ozmidwifery] childrens books on grief
Capers have these ones. http://www.capersbookstore.com.au/scripts/shop_srchby.asp?req=Grief+and+Lossby=catchoice=17 Cheers, Di - Original Message - From: Megan Larry [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, August 14, 2006 11:26 PM Subject: RE: [ozmidwifery] childrens books on grief My favourite book on life and death is Beginnings and Endings with Lifetime in Between It explains how all living things have a different lifetime and within their own species, plants, animals and people. Some live for a very short time others live to be very old. I don't know if it would help relieve anxiety for this littl girl, but to me it is honest and respectful of the living process. I was introduced to it when my brother took his life, it helped me to explain it to my children and even my parents have found it helpful to understand the time they were given with him. Its often in school or kindy libraries, so you could borrow it. Best wishes Megan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Monday, 14 August 2006 9:20 PM To: ozmidwifery Subject: [ozmidwifery] childrens books on grief Dear Andrea and all I am after a suggestions of children's books that would be suitable for a little girl Maya aged 5 whose mother is having a baby this year. Last year her Mum had another baby Jonah who was born prematurely and died aged 10 weeks. They are all still grieving yet excited about having a new baby. Maya has been waiting a long time to have a baby to hold and is displaying anxiety about this baby. She talks openly about Jonah but at the same time became teary. its hard when we cant promise her this baby will be OK. As adults we understand what probably means and the mother is confident that everything is OK but how do you explain that to a 5 year old? I have looked in the birth international catalogue but it is hard to know which ones are good. Any suggestions Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Use of ultrasound routinely to check for breech position!!!!!
examined in the usual way by a doctor to assess the position of their baby. Well I wonder if this would be replicated with midwives as the palpators!! Di - Original Message - From: Helen and Graham To: ozmidwifery Sent: Wednesday, August 09, 2006 12:02 AM Subject: [ozmidwifery] Use of ultrasound routinely to check for breech position! This is ironic after what has just been posted about the latest possible risks of ultrasoundHelen http://news.bbc.co.uk/2/hi/health/5241968.stm Breech baby checks 'miss cases' Routine pregnancy exams to check a baby is in a good position before birth are not sensitive enough, experts warn. They say simple palpation - feeling the mother's bump - misses about 24 in 100 cases of abnormal lie, where a baby is not in the normal head-down position. Knowing the lie of a baby is important because some positions, like foot first or breech, make vaginal delivery difficult or impossible. Routine ultrasound tests may be needed, says the British Medical Journal. Missed diagnoses A team at the University of Sydney studied 1,633 women in their 35th to 37th week of pregnancy who were attending an antenatal clinic at a local obstetric hospital. Each woman was examined in the usual way by a doctor to assess the position of their baby. Afterwards the women also underwent an ultrasound scan to confirm the position. Simple palpation detected 70% of the babies who were not in the ideal head-down position but missed the other 30%. It is crucial that women are provided with unbiased information and with the choice about whether they have an additional scan or not Sue Macdonald of the Royal College of Midwives The researchers reason that if this figure is applied to a general maternity population of 1,000 women, clinical examination would identify 101 women as having an abnormal lie but in only 56 would this be correct and 24 women with abnormal lie would be missed altogether. They suggested routine ultrasound scans for women late in pregnancy might help spot more babies with abnormal lie, but stressed that the cost effectiveness of such screening would have to be assessed before any services could be rolled out. Sue Macdonald of the Royal College of Midwives said: "It is possible that some babies in breech position are missed and this reinforces the need to use information from this research to inform current education and training of midwives and obstetricians." But she questioned whether routine ultrasound checks would be cost and resource effective. She added that the long-term effects of such scans on the unborn baby were not known and that doctors might come to rely on scans and become less skilled at examining. "The use of scans as a second opinion, when there is difficulty in palpation, perhaps for overweight women, is already used," she said. "However, it is crucial that women are provided with unbiased information and with the choice about whether they have an additional scan or not." Story from BBC NEWS:http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/5241968.stmPublished: 2006/08/03 23:02:10 GMT© BBC MMVI
Re: [ozmidwifery] Birth, Trauma Personality
Hi Kelly I read an article earlier this year on some research done on suicide and it was found that often the method used was linked to birth. e.g cord tight around neck (hanging), heavily drugged birth (drug overdose) etc. Here is a really good website on perinatal studies, pregnancy and birth memories: www.holistic.ie/amethyst/documents/suicide.htm We already know that a baby's hearing is fully developed at 18 weeks gestation so just imagine what they are listening in on, especially in the birth room and the horror birth stories being told. regards Diane Gardner Kelly @ BellyBelly [EMAIL PROTECTED] wrote: Help! Someone started a discussion on my forums about birth and how it shapes the baby as an individual. Of course, everyone thought that concept was ludicrous, think studies and percentages are rubbish and must think I am a quack for thinking otherwise LOL J Can anyone else back me up?! I need some support!!! If you aren't signed up in my forums, please feel free to, or post here any suggestions or comments. http://www.bellybelly.com.au/forums/showthread.php?t=17144 Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support Send instant messages to your online friends http://au.messenger.yahoo.com Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Blood cells and placenta?!
Here is a site to go to that is very informative about cord clamping. www.cordclamp.com There is no reliable research that proves babies being more suseptible to jaundice if they receive all their cord blood. Alsothe lower lobes of the lungs do not inflate until after birth so extrablood is needed to do that otherwise where is it taken from. Nature designed it perfectly. So are we saying that nature was wrong in its design that has birthed babies for thousands of years. Who has it wrong? I remember oncethat Dr Spock once had all the answers too. Hmm The cord contains up to 150mls of blood, where do you think it was designed to go? Whether the baby is inutero with the placenta at the top or the bottom or holding the baby up or down after birth, the placenta still keeps pumping to the baby. I have felt pulsing cords with mumns sitting with their babies up on their chests. Blood flows to and from the baby until it starts to breathe then it becomes a one way operation not a two way one. You have to ask yourself whynature designed a cord thatconnects from a mother to a baby until it breathes on its own and then when it's job becomes defunct it stops supplying oxygen and blood,and the placentathen releases from the uterus. How we have interferred in nature. When a cord is prematurely clampled how is the signal that the baby is breathing on its own transmitted to the placenta? BY AN INJECTION!! No wonder PPH often occurs after a "perfect" birth becausethe placentadoesn't know its job is completed, there is still pressure from the placenta to the clamp. In the cultures where the cord and placenta is left attached the cord is never clamped. Eventually the cord just shrivels up and releases from the navel. Imagine the poor baby who has suddenly had it's oxygen supply prematurely cut off and is forced to breathe to survive. I have seen some terrible instances of having to rub and jiggle babies to make then breathe or I have also seen babies that born peacefully, gently start to breathe, gradually getting stronger and the cord gradually slowing downand then after some time the cord stops pulsating and is then cut. What have we as this so called advanced society done. Sorry but this is a subject I feel very strongly about and Michel Odent has supported this for more years than I can remember. I know medical science is needed in some instances but not EVERY birth. regards Diane Gardner - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 25, 2006 6:49 PM Subject: RE: [ozmidwifery] Blood cells and placenta?! So I can tell her that this is not a worry? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ken WardSent: Tuesday, 25 July 2006 6:33 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Blood cells and placenta?! . In mid training days the belief was that placental blood transfusion following birth would result in increased red blood cells in the baby thereby increasing jaundice levels. There was also concern if the baby was above the placenta blood would drain from the baby back into it. -Original Message-From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Kelly @ BellyBellySent: Tuesday, 25 July 2006 5:48 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Blood cells and placenta?! Has anyone ever heard of this? My midwife ended up saying as long as the baby is above the placenta; it's ok to let it stop pulsing naturally before clamping it. She said something about too many red (or white!) blood cells entering bubs if bub was below the placenta? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] Blood cells and placenta?!
How beautiful Jo, my point exactly and what a wonderful start to life. Diane Gardner - Original Message - From: Jo Bourne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 26, 2006 12:23 AM Subject: Re: [ozmidwifery] Blood cells and placenta?! My 2 week old baby was born asleep and took a little while to decide to breathe, cry and open her eyes. It was one of the joys of birthing at home that she was able to wake up and breathe in her own time rather than being rubbed etc to prove she could cry straight away. Her cord kept pulsing longer than the entire (natural) 3rd stage of her older sisters birth, presumably because of her slow gentle transition into wakefulness and breathing. At 8:34 PM +1000 25/7/06, Diane Gardner wrote: Imagine the poor baby who has suddenly had it's oxygen supply prematurely cut off and is forced to breathe to survive. I have seen some terrible instances of having to rub and jiggle babies to make then breathe or I have also seen babies that born peacefully, gently start to breathe, gradually getting stronger and the cord gradually slowing down and then after some time the cord stops pulsating and is then cut. -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Cord Clamping
For those of you interested in reading about the cord clamping research of GeorgeMMorley MB, ChB, FACOG here is a website to go to http://www.whale.to/a/morley_h.html A lot of his research was done in 2000 - 2001 so it is very up to date. regards Diane Gardner
Re: [ozmidwifery] It's A Girl
Congratulations Katrina! Cheers, Di Longworth - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, July 01, 2006 3:11 PM Subject: [ozmidwifery] It's A Girl Hi Everyone I was hoping to announce my news along with the birth story, but the story will have to come later! ;-) Introducing my new little munchkin Lilly born @40+6 Born last Saturday 24 June 2006 Weighed: 3740grams HC 35.5cms Length 52cms Labour was 3.5hours, mostly spent in the shower. No drugs, intact peri, breastfeeding well. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Diane's Granddaughter
Hi All, Just to let you all know that my granddaughter , whos pregnancy and birth I was sooo anxious about, was born at Tamworth Base last Tuesday 27th. Kylie avoided the threatened induction due to her gestational diabetes by birthing quickly and wonderfully. Although I was on duty at Wyong at the time and couldnt get there, (I wouldnt have made it in time anyway), she birthed in the company of a known midwife (thanks Robin) and felt safe and comfortable during the birth. I was able to spend muchof her postnatal stay with her and she went home on day four breastfeeding comfortably with barely any tenderness. Lauren Louise was 3480g and showed no signs of hypoglycaemia and is a very placid and calm babe as is her clever mum! Cheers, Di
[ozmidwifery] EMTALA Laws
This is something very interesting that I read on aUSA listI belong to. Are the same laws applicable in Australia? It was a particular discussion about VBAC's and how more and more hospitals in the USA are refusing them. regards Diane Gardner PS Looking forward to meeting lots of you in Geelong Here's an interesting little tidbit that I thought you might find enlightening. Borrowed from the RMA List.Subject : The Federal Emergency Treatment and Advanced Labor Act (EMTALA)as it pertains to hospital care for birth.This is taken from the Winter 2006 - Number 76 issue of Midwifery Today:"The federal Emergency Treatment and Advanced Labor Act (EMTALA) requires hopsitals to admit women in active labor and to abide by their treatment wishes until the baby and placenta are delivered. The act wasoriginally passed to prevent hospitals from "dumping" patients who can't pay, but it'ssince been applied in all sorts of other ways and includes specific provisions that apply to laboring women.The attorneys we've consulted on the VBAC ban issue have told us that hospitals are much more afraid of being found in violation of EMTALA than they are of malpractice suits because the act is routinely enforced and eachviolation subjects them to fines between $50,000 and $100,000.I can't emphasize enough the importance to individuals who may find Themselves in this situation of memorizing phrases such as "It's a violation of My rights under EMTALA to force me to undergo a cesarean," or "I'minvokingMy right under EMTALA to refuse a, b, c." Whether the hospital in question says it Bans VBACs is unimportant; according to EMTALA, you have the right to be admitted to a hospital once you're in active labor and, once admitted, you have the right to refuse any recommended treatment. You can also remind them that VBACisn't a treatment, it's the natural culmination of a normal physiological process. Cesareans are the treatment.Also, it's helpful to know that EMTALA begins to apply once you are Anywhere within 250 feet of a hosptial; you don't have to be in the emergency room. You can be standing in the hospital parking lot, and if they so much astouch You against your express consent, they are in violation of EMTALA. For anyone interested in reading more, we've compiled a legal primer on the rights of pregnant women http://www.birthpolicy.orghttp://www.birthpolicy.orgEditor's Note: To learn more about this important subject, go to http://www.emtala.comhttp://www.emtala.com . There you will find frequently asked questions (FAQ), as well as links to the statue and case law."
Re: [ozmidwifery] 24th HBA conf - Tickets nearly sold !
I am so jealous, staying put awaiting afore mentioned step-grandbaby. Will be a four hour dash on country roads to get there. Oh I know, maybe she should be induced to make it more convenient!! (tongue firmly in cheek!!) Cheers, Di - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 10:08 PM Subject: Re: [ozmidwifery] 24th HBA conf - Tickets nearly sold ! yes I am going along with three of my clients and two midwives Andrea Q On 22/06/2006, at 6:24 PM, Susan Cudlipp wrote: Are many Ozmidders going to the conference? Sue - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 12:46 PM Subject: [ozmidwifery] 24th HBA conf - Tickets nearly sold ! Dear all Just to update you that the 24th Homebirth Australia Conference has just about sold out at the 'larger conference venue'. We only have five tickets left and the program is now complete and available for viewing on the website. Please note we do not do day only tickets. There are only20spacesleft for the conference dinner which will be held on sat july1. Registration forms can be downloaded atwww.homebirthaustralia.org We will be convening a national press conference on the issues for remote and rural women who have lost their local birthing services pre-conference on Friday June 30 at Parliament House Victoria, please stay tuned. Women, babies, families, balloonsand banners warmly welcomed to attend for a 'photo shoot' outside Parliament House at 12 noon. We look forward to seeing you all there... Warm Regards Sally-Anne Brown for the 24th Homebirth Australia conference team. 04319 466 47 No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.9.2/372 - Release Date: 21/06/2006
Re: [ozmidwifery] How long before synto is used?
Hi Kelly, I think most places differentiate between spontaneous release of the waters or artificial rupture, in regards to potential for infection and other issues. Our area policy is after SROM they can do home management after initial confirmation of SROM by speculum exam and amnicator and ferning test of the fluid (when it drys on a microscope slide, it creates a ferning pattern), they have a CTG and if head is not high they can go home for 24 hrs, return for another CTG, then home again for another 24 if they choose. I work in a low risk unit that doesnt induce, so Im not really up on the practice at our referral hospy, but, I belive they dont really wait to put up Synto, nor do they reduce the Synto once woman is contracting well(which is what I was taught should happen!). Maybe because ARM is an intervention, where they not only risk starting off the cascade, but they have done VE which (theoretically)increases risk of infection (any more so than a speculum???). OR maybe it is because THEY are misogynist, control freaks Diane. - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 14, 2006 10:48 PM Subject: [ozmidwifery] How long before synto is used? For those who work in maternity units, I am just wondering what the policy is in your unit in regards to how long a woman can continue after her waters have broken before having synto put up? There seems to be such pressure to put it up fairly quickly (after you ask to at least wait at all!), with an average of about 1 hour before the woman gets the pressure to speed things up. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] How long before synto is used?
We sometimes have some confusion over whether the women should have oral AB's cover if they are on home management of SROM. The policy doesnt call for it, but some doctor's recommend this. When in established labour and membranes are broken for more than 18hrs, then IV AB's are used. I guess that confirms that you are at more risk in Hospital!! What do other units do? Cheers, Diane - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 8:51 AM Subject: Re: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs and Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96 hours before induction of labour - This is the policy at Rosebud. If doing ARM for IOL then waiting 4 hours is common reducing the synto once the labour is established is recognised as 'best practice. The recent research which associates IOL with syntocinon an increase in PPHs is acknowledged there. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Debbie Slater To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 12:04 AM Subject: RE: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs and Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96 hours before induction of labour - see http://www.nice.org.uk/page.aspx?o=17381 Debbie Slater Perth, WA From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Wednesday, 14 June 2006 8:48 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] How long before synto is used? For those who work in maternity units, I am just wondering what the policy is in your unit in regards to how long a woman can continue after her waters have broken before having synto put up? There seems to be such pressure to put it up fairly quickly (after you ask to at least wait at all!), with an average of about 1 hour before the woman gets the pressure to speed things up. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] How long before synto is used?
We swab on SROM assessment as we dont routinely swab, but unless confirmed positive wont start IVAB until 18 hrs. Confirmed GBS aren't considered to be candidates for home management. Di - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 11:10 AM Subject: RE: [ozmidwifery] How long before synto is used? Oh mum didn't have strep b swap done (they forgot to do it) so they wanted her to be on ab's too as policy assumed she was positive. She ended up saying no after they sent in a barrage of people trying to tell her to have ab's. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, 15 June 2006 10:54 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] How long before synto is used? We sometimes have some confusion over whether the women should have oral AB's cover if they are on home management of SROM. The policy doesnt call for it, but some doctor's recommend this. When in established labour and membranes are broken for more than 18hrs, then IV AB's are used. I guess that confirms that you are at more risk in Hospital!! What do other units do? Cheers, Diane - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 8:51 AM Subject: Re: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs and Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96 hours before induction of labour - This is the policy at Rosebud. If doing ARM for IOL then waiting 4 hours is common reducing the synto once the labour is established is recognised as 'best practice. The recent research which associates IOL with syntocinon an increase in PPHs is acknowledged there. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Debbie Slater To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 12:04 AM Subject: RE: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs and Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96 hours before induction of labour - see http://www.nice.org.uk/page.aspx?o=17381 Debbie Slater Perth, WA From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Wednesday, 14 June 2006 8:48 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] How long before synto is used? For those who work in maternity units, I am just wondering what the policy is in your unit in regards to how long a woman can continue after her waters have broken before having synto put up? There seems to be such pressure to put it up fairly quickly (after you ask to at least wait at all!), with an average of about 1 hour before the woman gets the pressure to speed things up. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] How long before synto is used?
I ended up switching it off myself-to her utter bewilderment. YAY! Amy, I wish more women would know enough to exercise their choice. Shame about the midwife though, process focussed rather than woman centred? I don't know, am I an eternal cynic? The sad fact is that this cynicism (from which I also suffer) is bred from reality. This is the impetus for change if we can get through that 'stepford wives' type mentality, the one where society is so accepting of all that is fed to them from those in authority, like polititians and doctors! Keep talking to anyone who will listen. A tiny spark in the right environment will have great results in changing local culture. Think Globally, Act locally applies here too. Cheers, Di - Original Message - From: adamnamy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 11:49 AM Subject: RE: [ozmidwifery] How long before synto is used? This is really pertinent thread for us mothers on the list...it seems an issue about which there are no clear guidelines which makes it really hard for women who are attempting to be in charge of their own labors. They don't even know what sort of time frame they will have in which to relax into labor without pressure and threat of synto. I recently gave birth in our major hospital, by ARM (2nd birth, Hx of fast labor, 2cms dilated, 36 weeks but with cholestasis and very worried about that). I was extremely keen to avoid synto/EFM and all the other nasty possibilities. I asked over and over for some clear indication of how long they would give me to progress into labor with out synto but was not given one. Within an hour of ARM I was being asked very regularly if I had contractions, with frowns and talk about synto every time I said not much happening. I wonder how it might have panned out had I not been hassled every step of the way...It only served to increase my anxiety 20 fold. We managed to hold them off for 6 hours before it went up and the flogging of the body began. It is just a revolting drug that should be avoided unless strictly necessary. The labor was nothing short of torturous and degrading (I am sure you have all seen it in action). I also wonder if it was the unrelenting intensity of the contractions that forced my bub into a posterior, deflexed position within an hour of established labor. Being hooked up to EFM doesn't help with keeping mobile either. I am not a midwife-Could there be any truth in that idea? Anyway...I thought I had negotiated to switch it off once labor had begun but lo and behold...a change of shift and the next midwife refused. I ended up switching it off myself-to her utter bewilderment. This was an act of desperation which left me quite compromised with her because our relationship became quite frosty and unpleasant after this. I felt like I lost her support when I took the reigns and bucked against hospital protocol. It was like I had offended her...that she felt compromised by me asserting myself. If I ever needed to follow the same course of action I would have the ARM and then get myself home ASAP for labor to start itself. I feel as though getting my baby out and the room prepped for the next customer was as much of a priority as my wishes to keep my labor and birth low key...I don't know, am I an eternal cynic? Bub calls, I have to go... Amy -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, June 15, 2006 8:54 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] How long before synto is used? We sometimes have some confusion over whether the women should have oral AB's cover if they are on home management of SROM. The policy doesnt call for it, but some doctor's recommend this. When in established labour and membranes are broken for more than 18hrs, then IV AB's are used. I guess that confirms that you are at more risk in Hospital!! What do other units do? Cheers, Diane - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 8:51 AM Subject: Re: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs and Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96 hours before induction of labour - This is the policy at Rosebud. If doing ARM for IOL then waiting 4 hours is common reducing the synto once the labour is established is recognised as 'best practice. The recent research which associates IOL with syntocinon an increase in PPHs is acknowledged there. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Debbie Slater To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 12:04 AM Subject: RE: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs
Re: [ozmidwifery] consent to formula feed?
Hear, hear Lisa. The old its just one bottle , cant do any harm arguement just doesnt cut it anymore. The research speaks for itself.. to risk the increase in atopic diseases and increased risk of so much else without truely informed consent is inexcusable. Cheers Di - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, June 06, 2006 4:13 PM Subject: Re: [ozmidwifery] consent to formula feed? previous post said... Also, I am under the impression that due to the increased risk of these bubs' sugars dropping further (being LBW and premature) then requiring IVT, 4/24 BSL etc one or two comp feeds to allow mum to get her head around breastfeeding two bubs and recovering from the labour etc sounds reasonable. I do understand both sides- one being the desire of the mother to BF versus the well-being of her babies. Just because these bubs were offered a comp feed does not mean she cannot BF.. comp feeding to allow mum to get her head around breatfeeding - seems to be a ridiculous statment. Is that the reason we are now going to give to justify formula after birth. Did anyone ask the mother if she wanted formula so she could just get her head around her breasts. The babies were on the small side but were only one day off term (normal pregnancy being 37 to 42 weeks). Breat feeding following birth Can bring blood sugars up you know and continue to keep them there. Formula should never be given even before the woman has had a chance to put her babies to the breast. And do you know what. Consent must be given before formula feeding whether you think it sounds reasonable or not. You don't have to understand both sides our job is to advocate for the womans wishes and desires and facilitate breast feeding after birth if that is her wish. On a side note, formula is written consent in the PNW where I work and verbal consent in the SCN- as it is considered 'medically required'! consent isn't medically required it's legally required. Lisa -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] consent to formula feed?
Written info on consent form signed by mother only in our area. Di - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 03, 2006 1:29 PM Subject: [ozmidwifery] consent to formula feed? Hi, just wondering what the policies are concerning consent to give formula to a baby (any baby). is the consent to be written or verbal, and is it gained from either parents or just the mother? sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
