Re: [ozmidwifery] PPH & C/S

[G Lemay]

Kelly @ BellyBelly wrote:

  
  
  

  
  
  Hello all,
   
  A woman on my forums has
had two normal births of big babies
– 11lb3oz and 13lb5oz and had a PPH with both. Her Ob
is now recommending a c/s with her third bub and wants a scan at 34
weeks as a deciding
factor of this. She wants a normal birth – is it okay just for her to
say
no without too much risk with PPH?
  Best
Regards,
  
  Kelly Zantey
Creator, BellyBelly.com.au 
  Gentle
Solutions From Conception to Parenthood
  BellyBelly
Birth Support
- http://www.bellybelly.com.au/birth-support
   
  

She would be better advised to follow a gestational diabetic diet. 
Gloria in Vancouver, BC

Re: [ozmidwifery] brown sugar

[G Lemay]

Jane Wines wrote:

  
  

  
  
  Just stroke
the baby’s anus with a
thermometer – do not go into the anus – for a few minutes then
watch out for the production. Only used for maternal anxiety for lack
of stool –
but better than adding foreign substances into babies gut.  Its like
cats
licking their kittens bum – but I don’t think that Mums would
appreciate being told to lick it!!
  Jane
   
  
  
  
  
  

Agree with Jane, look to the outside of the babe's body rather than
disturbing the flora balance in the gut.  Put some nice oil on your
hands and do a gentle clock-wise massage of the belly (with the
umbilicus being the middle of the clock,  Then, do the anal stim. 
Using a clean facecloth warmed with water makes an even better cat's
tongue.  Gloria

Re: [ozmidwifery] workshops

[G Lemay]

Sorry about that post.  I just scanned it and saw it was all about 
Australia so passed it along.

Won't happen again.  Best regards, Gloria in Canada








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[ozmidwifery] International Breech Birth Conference, March 20 & 21 2006

[G Lemay]

Breech Birth Conference – International perspectives on the management 
of term breech pregnancies and birth

http://www.breechbirthconference.com
March 20th & 21st 2006 Vancouver, BC, Canada

There has been a radical change over the last few years in the approach 
to breech pregnancy. The publication of the term breech trial led to 
many centres across the world opting for management with caesarean 
section, resulting in the dramatic decrease in the number of vaginal births.


In turn this has led to many obstetricians, midwives and family 
practitioners never having seen – much less managed - a planned vaginal 
breech birth. The skills of those who can provide experience are all too 
quickly disappearing, both from retirement and fear in a litigious 
environment.

read more
Aims and Objectives

Aims of the Conference

We aim to bring together practitioners and researchers from around the 
world to discuss issues such as research and safety, as well as 
techniques associated with breech birth. It is to be a multidisciplinary 
forum, and will contain discussions, presentations and interactive 
workshops.


Objectives

* Analyze research in this area, and hear of current work in the field
* Participate in hand-on skills workshops for both vaginal breech birth 
and emergency skills, led by both doctors and midwives
* Hear about some of the different approaches to breech birth around the 
world, including the rationale for selected use of oxytoxics in second 
stage, and the preferences for different birth positions




> Gloria Lemay <[EMAIL PROTECTED]> wrote:
>
> Breech birth conference coming up in Vancouver, B. C. Canada
> Hope you can make it. Details on the link below.
> Gloria Lemay, Vancouver, BC Canada
http://www.breechbirthconference.com
>
> please pass info on to your groups


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[ozmidwifery] Re: on the subject of induction/cholestasis

[G Lemay]

 Hi Amy,  Here are two articles you should read about Cholestasis.  One
is off this list and the other is from
http://www.birthlove.com

Gloria in Canada

  What Is Obstetric Cholestasis?
 -by Natalie Forbes Dash
  Homebirth Access Sydney
  Blue Mountains Homebirth Support


  CHOLESTASIS is a liver condition that involves
pruritis (itching) and increased bile acid levels in the last
  trimester of pregnancy. Approximately 1% of
pregnant women have this condition, which continues until
  delivery. Babies have an increased chance of
meconium stained amniotic fluid, foetal distress, spontaneous
  preterm delivery and a 1 in 4 chance of being
stillborn. Subsequent pregnancies are usually affected, getting
  worse with each. Quite often symptoms go
unrecognised in first pregnancies, increasing babies risks.

  Cholestasis is caused by a blockage. When the
liver has little capacity for absorption or excretion of bile,
  some of the normally excreted bile acids cause
partial destruction of the liver cell membrane, allowing the
  toxins to enter the blood.

  Little is known, but there is evidence to show
that oestrogen plays a large role. Patients with increased
  oestrogen levels, such as those carrying twins,
have an increased incidence of the disease.There is also a
  chance that cholestasis could be hereditary.

  Symptoms may be difficult to diagnose until the
patient is very sick., but if women and caregivers are aware
  of cholestasis it can be controlled. Pruritis
(itching) usually starts on the soles of the feet and the palms,
  extending to the rest of the body. In some severe
cases it can involve the face, ears, mouth and head.
  Itching is at its worst throughout the night,
leading to sleep deprivation, exhaustion and physical and
  mental fatigue. Mild jaundice is shown in about
20% of patients and some babies are born jaundiced.
  Nausea and vomiting can be present throughout
pregnancy, and 50% of mothers get urinary tract
  infections at the onset. In severe cases a cough
may come on in the earlier stages before itching begins.
  Approximately 80% of patients show rises in liver
levels after 30 weeks gestation. More severe cases come
  on earlier, last longer and have extreme symptoms,
i.e. prickles, stinging, pain in the head and an increased
  chance of fatty liver disease, putting mother at
risk.

  Although the outcome is mostly good for mum, this
disease frequently leads to malabsorption of vitamins,
  worsening maternal nutrition status. Cholestasis
has about a 20% risk of postpartum haemorrhage and the
  tendency towards bleeding may be caused by
inadequate absorption of vitamin K, which is needed for the
  blood to clot.

  So far the treatments available to us are
undesirable. We are only offered ways of suppressing the
  symptoms and the treatments only work if diagnosed
early enough, or if it's a mild case and still side effects
  are not known. I was offered antihistamines and
tranquillisers to supposedly help with pruritis, steroids to
  mature my baby's lungs and an induction or
caesarean after establishment of foetal lung maturity at 34 wks.

  Unknown are the effects of these drugs on our
livers. It's possible that they could be actually making the
  problem worse for baby or subsequent pregnancies
for the mother. I took this disease very seriously, but
  was unable to accept these options. After
researching cholestasis this is how I decided to manage my
  condition.

  Firstly I did the obvious and took out all fats
from my diet, eating only fresh fruit and vegetables, preferably
  organic and drank 10 litres of purified water a
day (the recommended amount of water is 2/3 litres per day) to
  flush the toxins out of my liver. I also drank
fresh beetroot juice and vegetable soups. I took herbs to
  support my liver throughout my pregnancy and had a
mix made up from my naturopath after cholestasis
  was confirmed, including Dandelion, St Mary's
Thistle, Globe artichoke and Psyllium husks. I also did yoga
  and had Reiki to support my mind and body.
Acupuncture was performed throughout my pregnancy for
  liver function, but more

Re: [ozmidwifery] article FYI

[G Lemay]

Thanks for posting this important info, Leanne. Perhaps specialists 
should be recommending that women with abnormal PAPS become pregnant and 
get a homebirth midwife. This article from the SOGC is good food for 
thought. Gloria Lemay

SGO Press Release (c) 2002
Delivering by Vaginal Birth May Return Abnormal,
Pre-Cancerous Pap Smears to Normal

Medical researchers from the University of
California-Irvine and
the State University Hospital at Stony Brook, NY, have
determined that a vaginal delivery will result in an
increased
postpartum regression rate for pregnant women with
abnormal
antepartum cervical cytology. Their findings will be
presented at
the 29th Annual Meeting of the Society of Gynecologic
Oncologists.

Orlando, FL -- Women who undergo vaginal delivery
rather than
cesarean section may trigger regression of
pre-cancerous changes in the
cervix. This is one of the key conclusions reached by
seven medical
researchers in their new study, "The Effect of Route of
Delivery on
Regression of Abnormal Cervical Cytology in the
Postpartum Period."
The participants in this research effort were David
Ahdoot MD, Philip
DiSaia, MD, G. Scott Rose, MD, Devansu S. Tewari, MD,
Tom
Kurasaki, MS, and Nicole J, Nguyen, BA, all from the
University of
California-Irvine Medical Center, Orange, CA; and
Kristi M. Van
Nostrand, MD, from the State University Hospital at
Stony Brook,
Stony Brook, NY.

Dr. Ahdoot will represent his colleagues as he presents
the research
results on February 10, 1998, before the 29th Annual
Meeting of the
Society of Gynecologic Oncologists (SGO) being held at
the Walt
Disney World Dolphin Resort, Orlando, FL, February
7-11, 1998.

Background: Widespread use of the Papanicolaou (Pap)
smear has
resulted in a significant decline in cervical cancer
rates among women.
At the same time, the Pap smear has revealed an
increased incidence of
cervical intraepithelial neoplasia (CIN) (dysplasia or
pre-cancerous
changes.) An abnormal Pap smear is not an uncommon
finding in
pregnant women, since the peak incidence of CIN is in
the 20’s and
30’s, coinciding with the most common child-bearing
years.
Consequently, screening for the detection of carcinoma
of the uterine
cervix, with Pap smears, is a standard part of prenatal
care.

Previous research studies have found that pregnancy had
no effect on
CIN, whereas other medical reports noted regression of
cervical
dysplasia in the postpartum period. No study, however,
examined
whether the route of delivery (cesarean section or
vaginal delivery)
influenced the postpartum regression rates for cervical
dysplasia.

Methodology: Between 1990 and 1997, 446 women with
abnormal
cervical cytology at their initial prenatal visit were
identified at clinics at
the University of California-Irvine Medical Center and
State University
Hospital at Stony Brook, NY. Complete records were
available for 138
women; of that group, 109 (79%) delivered vaginally and
29 (21%)
delivered via cesarean section.

The initial antepartum, or prenatal, cytologic data on
all 138 women
were separated into three groups: atypical squamous
cells of determined
significance (ASCUS), low-grade squamous
intraepithelial lesions
(LGSIL) and the most severe abnormality, high-grade
squamous
intraepithelial lesions (HGSIL). Regression was defined
as either
complete normalization of Pap smear findings or
regression of HGSIL to
LGSIL.

Results: At their first antepartum visit, 26 women
presented with
ASCUS, 53 with LGSIL, and 59 with HGSIL.

The key results of the 59 women with HGSIL were:

47 women delivered vaginally and 12 by cesarean
section.
Cytologic regression was noted in 28 of the 47
(60%) women
who had delivered vaginally versus none of the
women who
delivered via cesarean section.
Of the 28 women who delivered vaginally and
exhibited cytologic
regression, only two had a recurrence of HGSIL at
follow-up
nine months after the date of delivery.
Of the 12 women with HGSIL who delivered via
cesarean
section, none entered the second stage of labor
(or reached full
cervical dilation). These women had persistent
dysplasia
postpartum and were subsequently treated with an
excision
procedure (or cervical conization).

Benefits: The research team suggests that vaginal
delivery offers a
number of benefits including an increased rate of
cytologic regression.
These benefits could be the result of enhanced
localized repair
mechanisms or stimulation of local immune factors.
Essentially, the
experience of vaginal birth delivery could trigger the
body’s natural
corrective response to the abnormal cells found in the
cervix before
birth.

Another consequence of this research effort might be
that physicians will
not automatically perform a cervical conization, after
birth, on women
who had an abnormal antepartum Pap smear and
subsequently delivered
vaginally. Now, a postpartum Pap smear may first be
performed to test
for spontaneous regression and thereby eliminate the
need for additional
medical intervention.

The Society 

[ozmidwifery] Banned Aussie dr

[G Lemay]

This guy sounds like he's a few fries short of a Happy Meal. Gloria in 
Canada


Please see:
http://www.northernstar.com.au/localnews/storydisplay.cfm?storyid=3671261&thesection=localnews&thesubsection=&thesecondsubsection=

Or:
http://tinyurl.com/94n3x

Or read it here:
--
Banned Doctor claims "payback" 

04.02.2006 

By SHAN GOODWIN 
[EMAIL PROTECTED] 

A SET of old-style scales, a desk with no computer and a jar of jelly beans. 

This was Dr Peter Stewart’s surgery. 


Each patient’s information was neatly placed in a pocket on his door on a
pink or blue card, depending on their sex. 

As they came in, his secretary asked what their family members were up to. 

It was the type of practice where everyone felt at home. 

One of the last of its kind. 


Dr Stewart practised in Lismore for 43 years and, if you speak with some of
the more than 1000 patients he had on his books when he retired, he was
‘nature’s gentleman’. 


He was known as ‘Doctor Delivery’, having brought hundreds of Northern Rivers
children into the world. 


He was also known as the ‘Farmer Doctor’, being the owner of the last piece
of undeveloped farmland between Lennox Head and Ballina — prime multi-million
dollar real estate on which he runs a few hundred head of cattle. 


And now, in the twilight of his career, he has been labelled the ‘Steroid
Doctor’. 


The 76-year-old shut his Conway Street practice on January 24 after being
found guilty of professional misconduct by the NSW Medical Tribunal. 


Given the option of working only when there was another medical practitioner
on site, he chose instead to retire. 


Brought before the tribunal last November, he was prosecuted by the Health
Care Complaints Commission which had received complaints over the number of
prescriptions he had written for anabolic and androgenic steroids. 


The steroids were largely prescribed to patients who worked in the security
industry. Dr Stewart maintained he acted in the best interests of his
patients. 


"I’m human," he said. "And why would a human want to see another taking
veterinary supplies? This way, I could monitor and supervise their use." 


In his experience, steroid use under these circumstances had not caused
anyone damage. It is this opinion which has proven most controversial. 


But controversy is not something new to Dr Stewart and it seems he didn’t
mind upsetting the apple cart amongst the medical profession. 


Outspoken on problems with North Coast Area Health and the anaesthetists’
debate, and one of the last doctors to support the circumcision of baby boys,
Dr Stewart more than once drew criticism from his colleagues. 


But the respect he commands from patients is phenomenal. They are standing by
him, claiming his prosecution was a witch-hunt and writing to the NSW Premier
to express their disgust. In the end, that’s all that matters, says Dr
Stewart. 

What do you think? 

Phone the Star Feedback 

line on 6624 3266 or email 


[EMAIL PROTECTED]



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Re: [ozmidwifery] What are Buist's pads?

[G Lemay]

Brilliant, Andrea.  Someone had posted the query on the Midwifery Today
forums so I have posted your reply.  Gloria

Andrea Quanchi wrote:
Gloria
  
I just got the book out to re read the section you are talking about,
pg 45 in my book ofr anyone interested, but I think it just the name
they use for the combination of a binder and two towels used as
described to try and encourage the uterus to be more upright in women
who have a serious split in their rectus shealth and therefore the
uterus is hanging forward into the gap. Often these women fail to
establish labour because the baby is not putting pressure on the
cerix. They often niggle on and off repeatedly and doing as described
is often enough so that during the next run of contractions they
establish rather than wain again.
  
If you want to ask Pauline Scott I have her email
  
Andrea Quanchi
  
On 08/01/2006, at 7:20 AM, Gloria Lemay wrote:
  
  
  This is mentioned in
Optimal Fetal Positioning.  Can anyone tell a Canadian what they are?

Gloria in Vancouver, BC Canada
  

Re: [ozmidwifery] FW: Joan Donley

[G Lemay]

Thank you for letting us know about Joan's passing, Kirsten.  She is
much loved in Canada, too.  Gloria 

  
   
  One
of the most special woman I have ever met has left us. She was a role
model to
me and many others I’m sure. I had the pleasure of meeting her when I
was
studying at AUT and talked with her often. It is a sad day for all NZ
midwives
and woman, and I’m sure Joan also touched many here in Australia.
  Joan
has achieved so much for midwifery worldwide, may she rest peacefully
and may
her struggles and fights still be remembered and continue to be  fought
by
us all.
   
  Kirsten
   
  Text from today's NZ Herald:
  Donley, Elsa Joan (nee Carey) O.B.E.
  On December 4, 2005 at Northaven Hospital,
Whangaparaoa; aged 89 years
  Mother of Robert, Derelys, David, Adrian and Patrick.
  Grandmother of Robert, Geoffrey,
Michael, Tamarin,
Mandy, Shaun, Graeme, Steven, Matthew, Lauren, Hayden and Vanessa.
  Great Grandmother of Madeleine, Hunter,
Chloe and
Riley.
  Joan was an internationally acclaimed
advocate for
normal birth, and in the 1980's had a key role in the establishment of
the New
Zealand College of Midwives.  As the well established matriarch of
Midwifery Joan's knowledge and wisdom will be sorely missed, but those
seeking
a healthier birth and upbringing for their children will find Joan's
compendium
for a healthy pregnancy and a normal birth, a legacy of her wisdom.
  Thanks to the staff at Northaven Hospital
for their care.
  A service will be held at the North
Shore Memorial
Park Crematorium Chapel, 235
Schnapper Rock Road, Albany
at 1.00pm on Wednesday December 7 to be followed by interment.
  In lieu of flowers donations to the Joan
Donley
Research Collaboration, P.O.
Box 21106, Christchurch
would be appreciated.
  H Morris
Funeral Services.
  

[ozmidwifery] Jeannine Parvati Baker 1949-2005

[G Lemay]

Joseph, Utah
Jeannine Parvati O’Brien Baker

A beloved friend and teacher to many passed away on the new moon, first 
of December, 2005, in Joseph, Utah.  Jeannine was born in Los Angeles, 
California, on June first, 1949.  (A double Gemini, with moon in Leo).  She and 
her family moved to Joseph in 1982 and two of her children, Quinn and Halley 
Baker were born here, at home.
Jeannine attended schools in California, earned a B.A. degree in 
psychology and completed graduate work at the California State University 
system.  Author of several books on family health and wellness and hundreds of 
published articles for magazines and professional journals, she has been a 
featured speaker throughout the U.S. and the world.  Jeannine is listed in 
WHO’S WHO for her contributions to women’s health.  She has maintained a 
correspondence course on herbalism, midwifery and optimal parenting which has 
over 1000 students enrolled worldwide.
Locally, Jeannine has been active for the cause of family health, 
opposing the proposed asbestos dump site near Monroe, the aerial spraying of 
malathion in the county, and most recently against the coal-fired power plant 
in Sigurd.  On the national and international scale, she has strived to protect 
children by working to end routine neonatal circumcision and promoting more 
gentle birth practices.
During her prolonged effort to overcome hepatitis, she has had 
excellent helpers come forward from around the world and locally.  Most 
recently she has been very efficiently and compassionately served by the 
Hospice program, including Vicki Gurney, Kallie Williams. Danielle Curtis, John 
Bagley and Kelly Husbands, and also the Joseph LDS ward Relief Society, 
especially Twila Owens and Rebecca Zufelt.  Neighbors, Patricia Magelby, Diane 
Fullmer and Emily Chase were extra helpful. Her family is extremely grateful 
for all the loving support they have received.
Jeannine was preceded in death by her father, Frank O’Brien of Los 
Angeles and survived by her mother Vicki O’Brien, and sister Francine O’Brien 
of Los Angeles.  All of her 6 children are living, Loi Medvin, Oceana Medvin 
and Cheyenne Medvin of Santa Rosa, California, Gannon Baker of Moab, Utah, 
Quinn Baker and Halley Baker of Joseph.
Jeannine’s wishes are to be cremated and the ashes buried in the Joseph 
cemetery.  A public grave site service will be held at a later date to be 
announced.


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Re: [ozmidwifery] Fw: Sarah Buckley's book: Gentle Birth, Gentle Mothering now!

[G Lemay]

Janet, thanks for posting this.  I concur, it's really beautifully done
and chock full of good info and new ideas.  I highly recommend it. 
Gloria in Canada

Janet Fraser wrote:

  
  
  
  No one else has
sent it so I will. It's a lovely book, I've already read it.
  : )
   
  
  From: "sarahjbuckley" <[EMAIL PROTECTED]>
  Date: 1 December 2005 10:07:22 PM
  Subject: Gentle Birth, Gentle Mothering now!
  
Dear friends
  
I am excited to tell you that my book, Gentle Birth, Gentle
Mothering: The wisdom and science of gentle choices in pregnancy,
birth, and parenting is now in my webshop and available for
purchase at http://www.sarahjbuckley.com/shop/
  
I am thrilled with the production of Gentle Birth, Gentle Mothering.
The lush cover (artwork by Durga Bernhard) reflects the beauty and
gentleness of birth and mothering, and the cover colours are vibrant
with vegetable-based inks. Inside, the layout and design are pleasing,
and the 100% recycled paper gives the book a lovely feel
  
I am also getting wonderful feedback about the content, and it is so
good to have all my best articles in one place. All of those mothers,
grandmothers, professional, parents who have emailed me with questions
about Lotus birth, homebirth, cord clamping after cesarean, cord blood
banking, ecstatic birth, co-sleeping, breastfeeding (and much more) can
now find the answers! There are also articles about the safety of
ultrasound and epidurals (a longer version of the article in the
current Mothering), breech birth, caesareans, prenatal testing for Down
syndrome, yoga and motherhood,  raising babies without nappies/diapers
and lots of my own stories.
  
You can read Ina May Gaskin’s words of wisdom in the foreword – I was
privileged to chair a panel at the recent APPPAH conference in San
Diego on care during labour, which included Ina May (upcoming blog!).
Ina’s foreword is a great rave about the spread of birth fright vs the
birth-giving capacities of our bodies.
  
You can also read what my reviewers have to say about Gentle Birth,
Gentle Mothering as you scroll down at
  
 http://www.sarahjbuckley.com/html/gentle-birth-gentle-mothering.htm 
  
My latest reviewer is Deepak Chopra, who says:
  
  
  

Re: [ozmidwifery] Quick water birth question

[G Lemay]

I forwarded your inquiry on to Barbara Harper of Waterbirth Int'l in 
Portland Oregon. 

Many women have birthed in water after SROM of days and even weeks.  
Water does not enter the vagina when in a bath unless the labia are held 
open.  This was studied by putting a tampon in with vegetable dye at the 
tip and then immersing women.  This means that pelvic exams wouldn't be 
done while the woman is immersed (hopefully they wouldn't be done 
anywhere as this can cause what we fear).  Taking temp every 4 hrs is 
the best way to take a "watch and wait" attitude with srom.  You might 
want to have the woman shower only and stay out of the tub until you're 
fairly certain that the baby will arrive in the next 12 hours, just to 
be super cautious in a medical setting.  Gloria in Canada

Dean & Jo wrote:


Where can I access on line a statement about being in water to labour
and perhaps birth in the situation where the membranes have already
ruptured?  I have a doula clients whose OB has said she cant get into
water if her waters have broken due to infection risks.  I need a
mediacl reference that explains this situation.
Cheers
Jo

 




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[ozmidwifery] Big U.S. Pharma not trusted

[G Lemay]

The lead front page article in today's New York Times reports:

"A poll last month showed that only 9 percent of
Americans believed drug
companies were generally honest, down from 14 percent in 2004. In
contrast,
34 percent of people said they trusted banks, and 39 percent trusted
supermarkets."

"A year after Merck's withdrawal of its arthritis
medicine Vioxx led to an
industrywide credibility crisis, the Food and Drug Administration is
blocking new medicines that might previously have passed muster.
Doctors
are
writing fewer prescriptions for antidepressants and other drugs whose
safety
has been challenged, like hormone replacement therapies for women in
menopause."

"Consumers have been irritated for years by drug prices in the
United
States, which are higher than in other industrialized countries. But
anger
at the industry reached a new pitch in the summer of 2004, with the
disclosure that several companies had suppressed the results of
clinical
trials that showed an increased risk of suicidal thoughts by people
taking
antidepressants."

But the drug industry's defining spin about its fraudulent claims
and
corrupt marketing practices goes to Sidney Taurel, chief executive of
Eli
Lilly & Company, and former congressman, Billy Tauzin, president of
the
Pharmaceutical Research and Manufacturers of America who blame the
public
for "unrealistic" expectations about drugs.

Taurel: "Executives at the major drug companies say they are
concerned that
consumer mistrust has led to unrealistic expectations about drug safety
and
risks, stunting the development of new medicines." 
Tuzin: "We've created an impression with the American public that
when a
drug is approved, it's perfectly safe."

"Unrealistic" to expect safety to be the first priority in the
drug
development and approval process?

"Unrealistic" to expect pharmaceutical companies not to operate
like the
purveyors of snake oil who made false claims and concealed their
products'
lethal side effects?

"Unrealistic " to texpect an industry that is given long-term
patent
exclusivity--as no other industry recieves--would not violate the
public
trust by concealing from physicians and customers lethal risks?

"Unrealistic" to expect that the FDA would not approve a
medicine to be
widely marketed as "safe and effective" when it has triggered
severe,
potentially lethal side effects in clinical trials? 

"Untealistic" to trust that an FDA-approved medicine will not
trigger
cardiac arrest, or cause liver damage, or diabetes, or mania,
psychosis,
and
/or violent suicidal or homicidal outbursts?

Re: [ozmidwifery] two vessel cords

[G Lemay]

What I was told by a pathologist that I consulted for a 2 vessel cord
(many years ago so new research may trump this but it made sense to
me)  is that 1. renal problems are the first thought but they would
result in the baby being small for dates  2. if the baby is a normal
size and urinary function is normal, it probably means that the 2
arteries are there but appear as one and have fused.  Gloria

Joy Cocks wrote:

  
  
  
  Yes, that's right.  My newest grandson (now 4
weeks old) had only 2 vessels and the ob/ultrasonographer said that the
association with renal anomolies has now been disproven.
  Joy
   
  Joy Cocks RN (Div 1) RM CBE IBCLC
BRIGHT Vic 3741 
email:[EMAIL PROTECTED]
  
-
Original Message - 
From:
brendamanning 
To:
ozmidwifery@acegraphics.com.au

Sent:
Friday, October 14, 2005 17:15 PM
Subject:
Re: [ozmidwifery] two vessel cords


Actually
recent research has discounted the association with renal agenesis
& other genetic anomalies that we all used to think of as a
possibility with 2 vessel cords.
I read
it on the Ox mid site recently (I think).
 
Kind Regards
Brenda Manning 
www.themidwife.com.au


  -
Original Message - 
  From:
  cath nolan 
  To:
  ozmidwifery@acegraphics.com.au
  
  Sent:
Friday, October 14, 2005 4:37 PM
  Subject:
Re: [ozmidwifery] two vessel cords
  
  
  this can be an indicator of
renal anomalies in a small percentage of babies . It is worth a scan i
believe. I have worked in a neonatal unit and do remember the babies
affected. This must always be balanced with the fact that there are
plenty of babies that have no problems apparrent.
   
  Cath
   
  - Original Message - 
  
From:
Kylie Carberry 
To:
ozmidwifery@acegraphics.com.au

Sent:
Friday, October 14, 2005 2:19 PM
Subject:
[ozmidwifery] two vessel cords



Hi everyone,
I have a pregnant friend with a two vessel cord and wondered
if anyone had some info on what this may mean.  I had it myself and was
told the baby would need a renal scan at one week old to check for
renal anomolies.  Indeed, she does have urinary reflux, but I know that
a two vessel cord does not necessarily mean renal problems.  I know
that this was brought up a little while back but I have lost track of
the info
Kind regards



 

Kylie
Carberry
Freelance
Journalist
p:
+61242970115
m:
+612418220638
f:
+61242970747


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[ozmidwifery] Re another fyi...

[G Lemay]

Perhaps the headline should read :*Women who wait until their late 30s 
to have children and then fall under the care of an obstetrician are 
defying nature and risking heartbreak, leading midwives have warned. *


I have only observed one thing about older mothers in my 29 years in the 
birth business and I tell every mother over 35-- "The older the mother, 
the cuter the kid."   Gloria



http://news.bbc.co.uk/2/hi/health/4248244.stm

Delaying babies 'defies nature'
*Women who wait until their late 30s to have children are defying 
nature and risking heartbreak, leading obstetricians have warned. *


Over the last 20 years pregnancies in women over 35 have risen 
markedly and the average age of mothers has gone up.


Writing in the British Medical Journal, the London-based fertility 
specialists say they are "saddened" by the number of women they see 
who have problems.


They say the best age for pregnancy remains 20 to 35.

Over the last 20 years the average age for a woman to have their first 
baby has risen from 26 to 29.



* The message that needs to go out is 'don't leave it too late' *
Peter Bowen-Simpkins, Royal College of Obstetricians and Gynaecologists

The specialists, led by Dr Susan Bewley, who treats women with 
high-risk pregnancies at Guy's and St Thomas' Hospital, warned 
age-related fertility problems increase after 35 and dramatically 
after 40.


Other experts said it was right to remind women not to leave it too late.

* 'Having it all' *

In the BMJ, the specialists write: "Paradoxically, the availability of 
IVF may lull women into infertility while they wait for a suitable 
partner and concentrate on their careers and achieving security and a 
comfortable living standard."


But they warn IVF treatment carries no guarantees - with a high 
failure rate and extra risks of multiple pregnancies where it is 
successful.


For men, there are also risks in waiting until they are older to 
father children as semen counts deteriorate with age, they say.


Once an older woman does become pregnant, she runs a greater risk of 
miscarriage, foetal and chromosomal abnormalities, and 
pregnancy-related diseases.


They add: "Women want to 'have it all' but biology is unchanged.

"Their delays may reflect disincentives to earlier pregnancy or maybe 
an underlying resistance to childbearing as, despite the advantages 
brought about by feminism and equal opportunities legislation, women 
still bear full domestic burdens as well as work and financial 
responsibilities."



* The best time to have a baby is up to 35. It always was, and 
always will be *

Dr Susan Bewley

Dr Bewley told the BBC News website: "We are saddened because we are 
dealing with people who can't get pregnant or are having complications.


"Most women playing 'Russian Roulette' get away with it, most people 
are fine. But I see the casualties.


"The best time to have a baby is up to 35. It always was, and always 
will be.


She added: "I don't want to blame women, or make them feel anxious or 
frightened.


"The reasons for these difficulties lie not with women but with a 
distorted an uninformed view from society, employers, and health 
planners.


"Doctors and healthcare planners need to grasp this threat to public 
health and support women to achieve biologically optimal childbirth.


"Where we can, we should be helping women to have children earlier."



HAVE YOUR SAY
*The choice is still clear, have a career or have children late. I 
would advise other women to leave it and take the gamble *

Victoria Finney, Brighton

Clare Brown, Chief Executive of Infertility Network UK, said "Delaying 
having children until you are in your thirties is a choice many people 
make but they need to be aware of the added problems when trying to 
conceive, particularly over the age of 35 when a woman's natural 
fertility declines.


"When this is exacerbated by a further complication such as blocked 
tubes or low sperm count the chances of a successful pregnancy even 
using IVF are much less."


Peter Bowen-Simpkins, of the Royal College of Obstetricians and 
Gynaecologists, said: "The biological clock is one thing we cannot 
reverse or change.


"The message that needs to go out is 'don't leave it too late'."

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/4248244.stm

Published: 2005/09/15 23:08:39 GMT






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[ozmidwifery] Re: ] Friend with breach baby...told CS only options.

[G Lemay]

There ARE some important things with breech.  This is where your anatomy
and physiology of the newborn is very important.  Understanding the
circulatory system of the baby, the way the bones in the head fold over
each other and the concept of creating an airway are some important
considerations.  The main rule is "HANDS OFF", however, that is not all
there is to it. With breech births it's important to have a period of 45
mins from the time the woman feels like pushing till when she actively
pushes, in order to prevent the head being caught on an undilated
cervix.  Once the baby is born to the umbilicus, you have 7 mins to
complete the birth.  You want to avoid rushed handling but you also
don't want to sit there like a lump.  The baby can be provoked to draw
breath or shoot his/her arms above the head by meddlesome handling.  The
body hanging (and I especially like the all 4's position for this) is
Nature's way of bringing the back hairline to the introitus of the
vulva.  Sometimes, even without stim. the arms will be up and it's
important to turn the babe's hips using a cloth and not touching the
delicate organs in the belly (you can rupture organs with your pointy
little fingers when the baby's abdomen is engorged and your adrenal is
running) so that the shoulders are antero-post diameter in the pelvis,
then reaching in and gently sweeping them down.  sometimes this requires
a second demi rotation for the second arm.  Once the babe's hairline is
visible, then, it's important NOT to let the crown of the head "POP".
Popping can result in a fatal tear to the cerebral tentorum---a drumlike
membrane over the brain.  So, at this point, you reach a finger in, get
the baby's lower jaw and gently pull the mouth and nose into sight.
Once there, the mother is told "Stop all pushing."  Then she can stay
like this for a very long time and all is well.  You want her to easy,
easy, easy get the top of the head born so there is no "pop" and you
know you have an airway to that baby.

One of the guidelines that Michel Odent stresses is to watch the first
stage to tell you how the second stage will go with a breech.  If you
have a smooth, progressive first stage, the second stage will follow
that way.  If you're having a breech birth where the progress gets hung
up or stuck and the butt doesn't come down to the vulva on its own, you
want to consider cesarean as a safer option.
Gloria

 Vedrana Valèiæ wrote:

> Thank you, Gloria. In this article, it is said again that nothing must
> be done except flexing the head at the end and putting the woman in
> hands and knees position (or any position she feels right, I
> suppose?). Is there more to it than I'm getting. Because if there
> isn't, it sounds really simple to me. Do not interfere, just like in
> other kinds of births.
>
>
>
> Vedrana


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Re: [ozmidwifery] baby poo

[G Lemay]

Couple of things to add to this.   In these parts (Canadian west), we
say that the baby should have a minimum of two poops every day that are
at least the size of a loonie (our $1.00 coin) in the first 3 to 4
weeks and after day 4.  This amount of poop as a minimum means the baby
is absorbing nutrients.  There was a sad case here where a baby died of
malnutrition with lots of wet diapers but no poops after the meconium
was passed.  No nutrition was being absorbed and that's when this
guideline was instituted.

Around here, it's believed that greenish colour to the poop indicates
that the baby is not getting enough of the fatty hind milk and is just
getting foremilk.  Usually the woman is told to start feeding one
breast per feed to get the hindmilk in to the babe and get the breast
really emptied.  It might be worth a go.
Gloria
Barbara Glare & Chris Bright wrote:

  
  
  
  Hi,
   
  If the baby is gaining weight well,
feeding wel and is happy and content (to the extent normal for a
baby!)  does it matter?
   
  Stay tuned for the Australian
Breastfeeding Association's "poo chart"  Baby poo revealed.  It is a
full colour sheet with information ic photos of nappies on one side and
easy to read info about breastfeeding on the other.
   
  It's available in tear off sheets
(!) pads of 100 @ $15
   
  Barb
  
-
Original Message - 
From:
Mary
Murphy 
To:
ozmidwifery@acegraphics.com.au

Sent:
Thursday, September 15, 2005 8:19 PM
Subject:
[ozmidwifery] baby poo



Hi all.  An enquiry from
a mother of a 3 week old baby re the colour of baby’s poo.  Baby has
never had yellow “breast milk “ poos.  He has always had greeny brown
poo, a good one every day, the same consistency of newborn yellow poo,
but just never yellow.  He  breast feeds frequently, seems content
after feeds, has lots of wet nappies.  Any suggestions?  Thanks, Mary M

  

Re: [ozmidwifery] Noises in labour

[G Lemay]

Jackie,  I love this story.  I wonder if I could submit it to Jan at
Midwifery Today magazine for inclusion in one of their magazines?  Let
me know.  Gloria in Canada
[EMAIL PROTECTED]

Maternity Ward Mareeba Hospital wrote:

  
  
  The
discussion a few weeks ago about noises in labour started me thinking
about a woman I met a couple of years ago.  
   
  She was a small woman with a mild speech impediment.  She had an overbearing husband, who came to all her
antenatal visits and answered questions for her.  He
would frequently say things to put her down.
   
  She
had a fairly traumatic vacuum extraction in a big busy hospital for her
first birth, and was unsuccessful in her attempts to breastfeed.   This was her second
pregnancy and she really wanted a normal birth and to be able to
breastfeed, and I felt she was quietly determined, but also afraid of
‘failing’ again.
   
  When
she came to hospital in early labour, her husband was with her and was
talking for her as usual, but as the labour progressed things started
to change.   As she started making more noise in
labour, he started to quieten down.  When she
whipped her nightie off and threw it on the floor he started backing
towards the door.  She was obviously feeling hot
because next she lay flat on her back on the cold floor with arms and
legs out, moaning and groaning.  He was looking
horrified, but hanging in there.
   
  She
was becoming more vocal and when she was contracting she started to say
repeatedly, through the course of the contraction, “Bugger Balls”.  This finally did it, he left.
   
  She
continued to repeat those words throughout her labour, and seemed to
really enjoy saying it.  She had a great labour
and birth, and went on to successfully breastfeed her baby for over a
year – in spite of her husband and mother-in-law undermining her.
   
  It
was an amazing birth to witness because you could see the change in
power in the relationship – as she became stronger and louder, he
seemed to shrink.
   
  The
relationship did appear to revert in the days after the birth, but I
believe the strength and confidence she discovered during her birth
helped her to breastfeed.
   
  This
is one birth that will live in my memory forever.
   
  Jacky
  
  
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[ozmidwifery] Re: NSW news

[G Lemay]

The endless credentialling and "proving" that midwifery care is safe is
just a trick to keep midwives chasing their tails forever.  The real
power for midwives lies in telling the truth  "Most women would be
better off with a chimpanzee as caregiver than a physician."  Also,
many women give birth just fine all alone and there's very little one
way or another that any person outside of the family does on the day of
the birth to make a baby live or die.  The main thing that is offered
by midwives is what they DON'T do---give dangerous pharmaceuticals to
birthing women and their babies.  

I can  never understand why anybody is trying to justify the safety of
midwifery care any more.  Marjorie Tew of Glasgow, Scotland has done
all the research that we ever need to see.  What is really superlative
about her work is that she was seeking to prove that giving birth in
large hospitals was the safest thing.  When someone sets out to prove
one thing and then becomes a travelling spokesperson for the opposite
view, THAT gets my attention.  Once she showed statistically, that home
or small clinic is the safest place to give birth EVEN FOR VERY HIGH
RISK WOMEN, then she turned her attention to "How young of a preemie
can safely be born at home?"  What she found by using Dutch stats is
that down to 32 w.g.a. babies are best born outside of big hospitals. 
It may be that even younger babies do better at home but there were not
sufficient numbers to prove that.  Her book "Safer Childbirth?" should
be required reading for all those MCP ob/gyns you have in Australia. 
Gloria

 Sonja wrote:

  I don't have a problem with credentialing.  What I do have a problem is,
what additional, ongoing training or credentialing does an ob have to do.
These are the people that save the babies!  Just ask Andrew Pesce and
Pieter Mourik!!
Sonja
- Original Message - 
From: "G Lemay" <[EMAIL PROTECTED]>
To: 
Sent: Friday, September 02, 2005 1:26 AM
Subject: [ozmidwifery] NSW news


  
  
New credentials give hope for birth centre
EMMA SWAIN
Tuesday, 30 August 2005

New credentials for midwives assisting in low risk births may pave the way

  
  for a midwifery-managed birthing model to be established in Maitland, a
young mother has said.
  
  
Maitland mother of two, Sarah-Jane Hazell, said news that midwives working

  
  under midwifery-managed birthing models in NSW would now be credentialed was
a positive move forward for women's choice when it came to giving birth.
  
  
"I think this is just fantastic news and I believe it means Maitland has a

  
  real chance of having a midwifery-led birthing model like the one already
established at Belmont," Ms Hazell, a member of the NSW Maternity Coalition,
said.
  
  
The Belmont Birthing Service opened in July for those Hunter women

  
  unlikely to experience complications during pregnancy, labour and birth.
  
  
This is the first midwifery-led birthing service to be established in the

  
  Hunter area.
  
  
Ms Hazell gave birth to her second child at home after experiencing a

  
  traumatic hospital birth with her first child.
  
  
"One to one midwifery care is a wonderful thing and women should have the

  
  choice of using this method if they want to, besides obstetricians are
becoming more difficult to find and more expensive so a midwifery-managed
model seems like the perfect alternative."
  
  
NSW Health Minister John Hatzistergos said the new credentialling process,

  
  to be administered by the NSW Midwives Association, would be a first of its
kind for Australia.
  
  
"This new system of credentialling for midwives is a quality control

  
  mechanism that will optimise safety for women who opt for midwifery-managed
antenatal, birthing and postnatal care," Mr Hatzistergos said.
  
  
"In the rare instance that a problem develops during pregnancy, labour,

  
  birth or the post-natal period, midwives working as primary care givers will
need to make important decisions about the need to seek medical attention.
  
  
"The credentialling process will provide a further set of checks and

  
  balances to ensure midwives are competent and confident in providing this
care to women in low-risk settings."
  
  
President of the NSW Midwives Association Dr Pat Brodie said this exciting

  
  new initiative would enable the public and care providers to have increased
confidence in the range of services provided by midwives working in this
way.
  
  
"For the first time, midwives have an opportunity to participate in a

  
  standardised quality process across the State," Mr Brodie said.
  
  


  
  http://maitland.yourguide.com.au/detail.asp?class=news&subclass=local&category=general%20news&story_id=419799&y=200

[ozmidwifery] NSW news

[G Lemay]

New credentials give hope for birth centre
EMMA SWAIN
Tuesday, 30 August 2005

New credentials for midwives assisting in low risk births may pave the way for a midwifery-managed birthing model to be established in Maitland, a young mother has said. 
Maitland mother of two, Sarah-Jane Hazell, said news that midwives working under midwifery-managed birthing models in NSW would now be credentialed was a positive move forward for women's choice when it came to giving birth. 
"I think this is just fantastic news and I believe it means Maitland has a real chance of having a midwifery-led birthing model like the one already established at Belmont," Ms Hazell, a member of the NSW Maternity Coalition, said. 
The Belmont Birthing Service opened in July for those Hunter women unlikely to experience complications during pregnancy, labour and birth. 
This is the first midwifery-led birthing service to be established in the Hunter area. 
Ms Hazell gave birth to her second child at home after experiencing a traumatic hospital birth with her first child. 
"One to one midwifery care is a wonderful thing and women should have the choice of using this method if they want to, besides obstetricians are becoming more difficult to find and more expensive so a midwifery-managed model seems like the perfect alternative." 
NSW Health Minister John Hatzistergos said the new credentialling process, to be administered by the NSW Midwives Association, would be a first of its kind for Australia. 
"This new system of credentialling for midwives is a quality control mechanism that will optimise safety for women who opt for midwifery-managed antenatal, birthing and postnatal care," Mr Hatzistergos said. 
"In the rare instance that a problem develops during pregnancy, labour, birth or the post-natal period, midwives working as primary care givers will need to make important decisions about the need to seek medical attention. 
"The credentialling process will provide a further set of checks and balances to ensure midwives are competent and confident in providing this care to women in low-risk settings." 
President of the NSW Midwives Association Dr Pat Brodie said this exciting new initiative would enable the public and care providers to have increased confidence in the range of services provided by midwives working in this way. 
"For the first time, midwives have an opportunity to participate in a standardised quality process across the State," Mr Brodie said. 


http://maitland.yourguide.com.au/detail.asp?class=news&subclass=local&category=general%20news&story_id=419799&y=2005&m=8














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[ozmidwifery] Chemical exposure in utero

[G Lemay]

CHEMICAL
EXPOSURE IN UTERO
A new chemical study of umbilical cord samples from the American Red
Cross has found that babies have an average of 200 known toxic
chemicals in their blood, including mercury, fire retardants,
pesticides and a chemical used in the production of Teflon, even before
being born. The tests found that hundreds of chemicals, pollutants and
pesticides are stored in body fat over a lifetime and then pumped from
mother to fetus through umbilical cord blood. Overall, chemical
absorption can be reduced by eating organic foods, and by reducing
exposure to toxins at home and at work. http://www.organicconsumers.org/school/newborns071505.cfm

Re: [ozmidwifery] Rh anti-D

[G Lemay]

Yes, mistakes can be made by hosp labs on the blood typing of the 
newborn.  Happened to me.  Two neg parents, first child neg.  Normally I 
wouldn't have even checked the bld type of the 2nd child but the parents 
wanted the ABO group.  Monogamous couple.  Had to beg to have the lab 
check again.  Turned out they had made an error.  Big apologies.  
Started me wondering how many other mistakes are made.  Now, I buy Eldon 
Cards to type the Dad and newborn myself at home.  It's really pretty 
easy and these little kits make it idiot proof.  They cost about $8 
Canadian and  are well worth it.  The hosp labs are a second 
confirmation after  we do testing at home. 

Also, I hate to get into this because it gives me a headache but I was 
corrected by a student about the idea that Rh neg is recessive.  She did 
a wonderful, brainy presentation to the class to demonstrate that Rh neg 
is dominant.  I'm sorry I can't duplicate it, but think about it.  Two 
Rh neg parents always have Rh neg offspring but two Rh pos parents can 
have an Rh neg child.  Gloria


leanne wynne wrote:

Rh neg is recessive so in order for someone to be Rh neg blood group 
they must possess 2 x Rh neg genes - one from each parent. If somone 
is Rh pos it is possible for them to carry either a positive or 
negative recessive gene. I hope that makes sense?

Leanne.


From: "Fiona Rumble" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: 
Subject: Re: [ozmidwifery] Rh anti-D
Date: Wed, 27 Jul 2005 12:57:37 +1000

Both parents must have had one gene for each Rh typing and passed on 
their recessive gene so that bub got two copies of positive and 
therefore was positive

Regards
Fiona Rumble
  - Original Message -
  From: Susan Cudlipp
  To: ozmidwifery@acegraphics.com.au
  Sent: Wednesday, July 27, 2005 12:45 PM
  Subject: Re: [ozmidwifery] Rh anti-D


  At the risk of sounding stupid, I remember a couple who were both 
Rh-ve and

  yet their baby was Rh+ve.
  Now was this a case of 'Father unknown' or a mistake, or is it 
possible for

  this to happen?
  Both partners seemed quite sure that the parentage could not be is 
question

  by the way!

  I'm also Rh-ve and have had 3 bubs, one of whom was
  -ve.  I had several risky episodes during the course of these 
pregnancies:-
  small APH, attempted ECV (failed), Chorionic villus testing, 
Elective C/S
  (no 1), 2 VBAC's, and a retained placenta with MRP(3rd).  As I am a 
blood
  donor (or used to be) I know that I never developed antibodies, 
although I
  did have anti-D at the appropriate times following potential risks 
- except

  for the APH and ECV attempt.

  Quite apart from the moral rights and wrongs of giving anti-D during
  pregnancy, it causes us no end of headaches in our busy ante-natal 
clinics.
  We are not allowed to keep a stock as it is 'too precious' to place 
into the
  hands of midwives ( who might presumably throw it away or sell it 
on the
  black market??)  So we have to go through a complicated ordering 
process
  which takes time away from our clients, and increases our work load 
- I hate

  it!
  As to the seemingly generous supply of Rhogam - where does this 
come from?
  While it was less available we were only giving the 28 & 34 week 
doses to

  primips, now apparently there is enough for multips too.
  Sue
  "The only thing necessary for the triumph of evil is for good men 
to do

  nothing"
  Edmund Burke
  - Original Message -
  From: "Naomi Wilkin" <[EMAIL PROTECTED]>
  To: 
  Sent: Tuesday, July 26, 2005 4:20 PM
  Subject: Re: [ozmidwifery] Rh anti-D


  >I had this experience!  I am Rh neg and so is my hubby.  I was 
told I would
  >still need to have anti-D during pregnancy.  Although the doctor 
never
  >stated that my husband may not have been the father of my child, 
that's
  >what was implied.  I refused and thankfully was saved from any 
further

  >harassment as I had my beautiful baby at home.
  >
  > Naomi
  >
  >
  >
  >>
  >>
  >>Funnily enough, we are not allowed to test the partners of Rh neg 
women to
  >>see if they are negative too, thus ruling out the necessity for 
giving
  >>Anti-D, because apparently we can't trust women to be truthful 
about the

  >>father of their baby!!
  >>
  >>Sally
  >>
  >>
  >
  >
  >
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  > No virus found in this incoming message.
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25/07/2005

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Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service  Mob 0418 371862


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Re: [ozmidwifery] fetal heart monitoring.

[G Lemay]

Sally Westbury wrote:

  
  
  
  
  

  
  
  What I find
really interesting is that I can
see lots of obstetric guidelines but no midwifery guidelines.
   
  Sally
  

Another interesting thing about taking fetal heart tones in ANY way is
that it's not an evidence based practise.  It's possible that listening
to fetal heart tones in any way only has the effect of  increasing
panic and intervention and does not ultimately save babies.
Gloria Lemay

[ozmidwifery] Re: just a thought

[G Lemay]

The other thing I've seen a lot in water is the baby stopping at the
hips,having a big moro reflex under the water and then continuing to 
birth
the buttocks and legs.  Anyone else see this much? 


Hi Tania
This opening of the arms and baby flinging back the head is a subject 
that has received study by Cornelia Enning, the waterbirth mw from 
Germany.  She's a regular speaker at Waterbirth International 
conferences and her view is that one should wait for that 'sign' to 
gently lift the baby out of the water.  I think she might have a website 
if you do a google search of her name.

Gloria


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[ozmidwifery] Re: (was) FYI, now ultrasound unsound

[G Lemay]

Thanks for posting these items Leanne.  I've recirculated them far and 
wide on my other lists.  Funny how the AMA gets worried about private 
operators making money off the things from which physicians are making a 
fortune.


I guess the doctor who stated

And although there is no evidence to suggest that exposing a fetus to 
unnecessary ultrasound is harmful


has never read the large Swedish study which says the effect on the 
brain is definite.  Here's some easy-to-distribute and research u/s info 
that might be of interest.  Gloria


With Woman
by Gloria Lemay, compiled by Leilah McCracken

Ultrasound

Abdominal ultrasound can be either "imaging" or "Doppler". Imaging
ultrasound gives a fuzzy photographic image of the developing fetus and
is
famous for being inaccurate. Obvious problems have been missed and, on
the
other hand, women are told they have problems and then the problem is
not
present when the baby is born. Surprisingly, it is the "Doppler"
ultrasound
that is used to simply pick up the heartbeat in prenatal visits that is
the
higher dose of ultrasound radiation (non-ionizing).

There have been studies that have shown Doppler ultrasound can alter
cellular activity. According to Anne Frye, midwife and author of
"Understanding Lab Work in the Childbearing Year" (4th Ed.) p. 405:

"Doppler Devices: Many women do not realize that doppler fetoscopes are
ultrasound devices. (Apparently, neither do many care providers. Time
after
time, women are assured by doctors and even some nurse midwives that a
doppler is not an ultrasound device.)...Not well publicized for obvious
reasons, doppler devices expose the fetus to more powerful ultrasound
than
real time (imaging) ultrasound exams. One minute of doppler exposure is
equal to 35 minutes of real time ultrasound. This is an important point
for
women to consider when deciding between an ultrasound exam and listening

with a doppler to determine viability in early pregnancy...If you have a

doppler, put it aside and make a concerted effort to learn to listen
yourself! Save your doppler for those rare occasions when you cannot
hear
the heart rate late into pushing or to further investigate suspected
fetal
death. " -copyright l990, Anne Frye, B.H. Holistic Midwifery.

Also, from A Guide to Effective Care in Pregnancy and Childbirth by
Enkin,
Keirse and Chalmers. (This book is a guide to a huge two-volume book in
which the studies done on most everything done in obstetrics have been
evaluated and conclusions drawn. This work is also the basis for The
Oxford
Database of Perinatal Trials.)

"There has been surprisingly little well-organized research to evaluate
possible adverse effects of ultrasound exposure on human fetuses...The
place
of ultrasound for specific indications in pregnancy has been clearly
established. The place, if any, for routine ultrasound has not as yet
been
determined. In view of the fact that its safety has not been
convincingly
established, such routine use should for the present be considered
experimental, and should not be implemented outside of the context of
randomized controlled trials."

Now, in 2002, we do have respected scientific (epidemiological) evidence

of
ultrasound causing changes in the fetal brain which consumers should be
fully informed about. Swedish researchers found that ultrasound scans on

pregnant women can cause brain damage in their unborn babies. Doctors
from
the Karolinska Institute in Stockholm compared almost 7,000 men whose
mothers underwent scanning in the 1970s with 170,000 men whose mothers
did
not, looking for differences in the rates of left- and right-handedness.

The
team found that men whose mothers had scans were significantly more
likely
to be left-handed than normal; and that men born after 1975 (when
doctors
introduced a second scan later in pregnancy) were 32% more likely to be
left-handed than those in the control group. In addition, these people
face
a higher risk of conditions ranging from learning difficulties to
epilepsy.

Said the researchers in the journal Epidemiology: "The present results
suggest a 30% increase in risk of left-handedness among boys prenatally
exposed to ultrasound. If this association reflects brain injury, this
means
as many as one in 50 male fetuses prenatally exposed to ultrasound are
affected." They say that the human brain undergoes critical development
until relatively late in pregnancy, making it vulnerable to damage, and
that
the male brain is especially at risk- as it continues to develop later
than
the female brain.

Assessing wellness without ultrasound

You and your client will always know when ultrasound is being used
because
there will be "jelly" (coupling gel) involved.The pregnant woman should
be
advised of the increased exposure with Doppler ultrasound and she would
be
well-advised to notify her practitioner that she will avoid all exposure

to
Doppler ultrasound during the pregnancy and birth. The practitioner will

have to use a fetoscope to listen 

[ozmidwifery] Re: broken collar bone & subsequent birth

[G Lemay]

I think it's erroneous to describe breaking the clavicle as a
"technique".  It's always an accident  when it happens and no one is
trying to break a clavicle.  Those babies are slippery, pudgy and when
they're jammed in tight you have absolutely no room to flex them.  I
think of it like trying to break a chicken bone that is embedded in the
centre of  a pound of butter.  When people say "Then I broke the
clavicle" it sounds like it was intentional but it wasn't.  I've never
had one in my work either but am almost afraid to say that out loud
because the karmic gods will get me within the month, if I do.
Gloria

Mary Murphy wrote:

  
  
  
  
  Jennifer wrote: A # clavicle is not a big
issue in a 
  neonate and doesn't necessarily mean
excessive force was used. The
neonates 
  bones are pliable and the # is usually a
'greenstick' or partial break
or
   
  Well, I
have NEVER seen
a #clavicle in 26 yrs of both hospital & home midwifery, even in
big babies
where some force has been used.  MM 
  

[ozmidwifery] Re: broken collar bone & subsequent birth

[G Lemay]

One of the pitfalls in the birth of a large infant is urging the mother 
to "push a little more" for the chin to be birthed.  I'm talking about 
those faces that creep over the perineum and stop with the upper lip of 
the baby out of the perineum and the lower lip still inside.  There's 
something "tidy" about getting that face completely born BUT this is 
where you will get the turtlenecking effect and, it's here that the 
shoulders get impacted.   If you wait for the next contraction and just 
be patient and let that chin stay inside, you'll avoid the shoulder 
dystocia because on the next big sensation, there will still be room 
above the woman's pelvis for that baby's shoulders to turn.  The chin 
and the shoulders will roll out together.  I find that, while waiting 
for that next push,  giving the mother a big slurp of water helps to 
hydrate her and ,like a plant, she'll perk up for that  final great 
heave-ho push to get the baby out.  Getting the father to do some nipple 
stim helps, too.  We always have to wonder if any manouevres actually 
get the baby out or whether it's just that time is passing and the 
fundus has some time to thicken, rally and piston down on the baby's bum 
while everyone is flinging the mother about.  Gloria Lemay, Vancouver, 
BC Canada


Janet Fraser wrote:


http://midwiferytoday.com/enews/enews0416.asp#main
Shoulder Dystocia
The explanation for the success of the all-fours [Gaskin] maneuver probably
lies in movement at the sacroiliac joints at term, which can result in a
l-cm to 2-cm increase in the sagittal diameter of the pelvic outlet. The
 




 




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Re: [ozmidwifery] Single umbilical artery

[G Lemay]

The only one I've ever encountered upon placenta inspection was
originally attached to an 8# baby.  The pathologist who checked over
the placenta said that if there were renal problems the baby would have
been small.  He surmised that the two arteries had simply fused into
the appearance of one.  The boy never had any problems and he's about
18 y.o. now.  There was a discussion about this recently on the
Midwifery Today Forums.  Gloria Lemay, Vancouver, BC Canada

Andrea Quanchi wrote:
Fropm my experience not usually associated with a poor
outcome in fact
many are diagnosed only when the midwife inspects the cord post birth.
Can be associated with renal anomolies but not always. Like anything
it may prove to be different on a subsequent scan but I would be
asking what do they want to do with the additional information prior
to birth other than scare the parents to death. 
A renal ultrasound on the baby post birth is more useful and I would
suggest they (being the doctors) will want this done regardless of the
outcome of a further u/s
  
  
Good luck
  
  
Andrea Q
  
On 10/06/2005, at 7:23 AM, Tanya Fleming wrote:
  
  
  Hi
everyonewanting to hear peoples experience with diagnosis of a
single umbilical artery by U/S at 20 weeks?  What have outcomes been
like?  Is there a chance of false diagnosis?  I have a member of
family who has been given this info recently.  I am accompanying her
to Brisbane for a more high tech scan next week.  Cheers, Tanya.
  

[ozmidwifery] re Birth Center and Dr Molloy

[G Lemay]

Denise Hynd  wrote:  >



I particularly liked the tricky bit of mass hypnosis she did by saying:


"If we called private obstetrics a killing field or called them butchers
all hell would let loose," she said. 


The question I have is "What if the shoulder dystocia had ended in a 
fetal injury or death?"  Would she have come out strong then and pointed 
out that many babies have died of shoulder dystocia in the hands of drs 
and midwives are allowed to have baby deaths without witch hunts, too.  
There is, in fact, no mishap that can ever happen at a birth that hasn't 
happened to some dr somewhere. When the day comes that midwifery leaders 
stand for their members in that way, then we'll have the breakthrough in 
obstetrics.

Gloria Lemay, Vancouver BC Canada


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[ozmidwifery] Re: Pain relief resources

[G Lemay]

I think one reason why women fear the pain of childbirth so much is that they know that no one is being straight with them about "Just how bad is it?"  I think that being descriptive about what I felt ("like a molten hot basket ball being pressed down into my crotch every 3 minutes with just enough time to barely get myself together before the next big press") AND also letting women know that I'm the world's biggest wimp when it comes to pain (didn't have my ears pierced till I was 34 y.o. and then had to lie in bed whimpering for 24 hrs after) and yet I've had 3 natural births, is empowering.  I also find that if a woman is friends with other women who have done it she's more likely to go the distance.  I tell the women they can have the "pay now plan" or the "pay later plan" with re to pain in birth.  The "pay now" route gets it done in one day (natural birth), the "pay later" route means a low grade insidious pain that can last beyond six weeks (epidural headache, backache, stitches healing, or worse after c sec).  The biggest benefit of the "pay now" route is that you have a child with all the brain cells Nature intended for him/her.  That is a reward that you reap for your whole life for just one day of courage.  
 


Gloria Lemay, Vancouver, BC Canada



 





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