RE: [ozmidwifery] Severe Nausea

[Julia Monaghan]

Hi, no ideas how to fix severe nausea but it is important to keep up the
fluids. I was recommended water with fresh lemon juice and found it easier
to keep down than plain water. Hiope this helps, Cheers, Julia M.

Does anyone on the list have any more suggestions for a friend who has
severe morning sickness & is now 9+ weeks pregant? SShe has tried
acupuncture & chinese herbs as well as being admitted for IV  rehydration &
being given Maxalon, Vit B6 & even dexamethasone. I thought I'd consult the
list for any more ideas.
Thanks in anticipation.
Rose

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[ozmidwifery] Breastfeeding and asthma

[Julia Monaghan]

Hi, if anyone read the Saturday Australian, they may have noticed the
article on breastfeeding being linked to the onset of asthma. Have already
had a woman query whether breastfeeding is good for her baby!! Just to let
you know that the study did not measure whether babies had received
supplemental feeding or not, and as such the results can not be considered
valid. If you want any more info about this, try this URL:
http://www.nlm.nih.gov/medlineplus/news/fullstory_9505.html Cheers, Julia M.

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[ozmidwifery] breastfeeding web site

[Julia Monaghan]

Hi, can anyone help me? I am looking for a breastfeeding information web
site that is entitled BSMed or something like that. Has anyone heard of
it??? Cheers, Julia M.

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RE: [ozmidwifery] breastfeeding web site

[Julia Monaghan]

Dear Barb, Thanks, I'm sure this must be it. I will pass it on to my friend.
Cheers, Julia M.


www.bfmed.org

Dear Julia, is this what you were looking for?

Love, Barb

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FW: Homebirths in Peril and Midwifery Insurance

[Julia Monaghan]

In Tassie, there is a requirement from the Nursing Board that all nurses and
midwives may have to provide proof of professional indemnification. I
understand that other state governments may be looking at including this in
their own nursing acts, if they have not already done so.

The Nursing Act (Tas.), 1995, Part 3, states that: "The Board may determine
that an applicant is not entitled to be registered or
enrolled as a nurse if it is not satisfied that the applicant, when
practising, will have
adequate professional indemnification arrangements."

There is not mention however, of how midwives are supposed to find an
insurer!

Julia M


So Far, there has been a hunt high and low, far and wide and no luck yet on
finding a company willing to insure midwives in private practice. Guild has
not so yet told me that my insurance will not be renewed and mine is due on
August 1st.  I would dearly love to know what is behind this obviously panic
reaction from Guild as not even their branches knew anything about the
change until midwives started enquiring.  What will happen to our clients?
we haven't addressed that yet as we are still hopeful that someone will come
forward with a policy.  Not all branches of ANF handle PI insurance even for
nurses.  We can still practice as midwives, but contracts with government
bodies and arrangements with hospitals will be affected as they are the ones
requiring the insurance.  Regards, Mary Murphy

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BP duriong pregnancy

[Julia Monaghan]

Can anyone help me with a question about estimating BPs? Should an
estimation of the diastolic be made using the IV or V Korotkov sound? Enkin
et al recommend using V and Sweet and Tiran recommend using IV. What do you
use or recommend in your practice? Thanks

Julia M

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Guthrie at the breast

[Julia Monaghan]

Hi, somebody recently put a reference called Guthrie at the breast or
something similar. Does anyone still have this reference? I have a colleague
who would love to demonstrate to fellow midwives that this is effective and
worth looking at for her unit.

Thanks

Julia M.

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Advice if having a baby in a Traffic Jam

[Julia Monaghan]

you might want to have a look at this amusing article. an interesting
solution to this problem

Julia M


http://news.scotsman.com/index.cfm?id=1464382001&rware=OXZAOLYJQFJV&CQ_CUR_D





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FW: scoliosis & VBAC v/s vaginal birth

[Julia Monaghan]

Just to add a comment on the scoliosis. I have minor scoliosis and had an
epidural during my first labour. I had a dural tap and was told that the
anaesthetist had difficulty inserting the needle due to my scoliosis. I have
never heard of this before, but having a dural tap is no holiday and I would
certainly advise women to think of scoliosis as a risk factor when
considering an epidural.

cheers, Julia M.

Hi Jan,
I have helped a woman with severe scoliosis.  Her curvature was in the
upper back. She underwent surgery for it when she was young but she still
has a very obvious curvature.  She doesn't have a rod in her back as far as
I know.  In our discussions around her history she did not verbalize this
to me.  She came to me after having had two babies (in another province) so
I did not anticipate any problems with her.  She had all her babies
vaginally.  Her first baby was in hospital with the familiar chain of
intervention, second at home with midwives, third at home with me.
It would seem to me that what is relevent here is where in the back the
curvature is.  Does it affect the pelvis at all?  The other relevent thing
is what you have already stated regarding her lack of candidacy for an
epidural.  (Sometimes I wish I had more clients who fell into this
category!!)  Too bad in this case now she has the added "black mark" of two
previous sections.  It is so unfair how women get labelled like this when
they weren't given an honest fair shake in the beginning.  For us
caregivers, it really underscores how important it is to facilitate normal
birth for that first baby.  It may be hard work, but it is not as difficult
as witnessing and assisting with the grief that comes when women realize
they have been misled and wounded unnecessarily.

Meaghan

At 07:00 PM 2/1/02 +1100, you wrote:
>Dear list,
>
>Does anyone out there have any experience in caring for women who have had
>scoliosis in childhood, which has led to surgery (involving insertion of a
>rod down the length of the spine to correct/stabilise the situation).
>
>I ask, as I have a friend who has experienced the above, having had surgery
>at the age of 14 due to severe scoliosis.  She has since had two children,
>both born my caesarean under GA (now aged 5 and 8 years).  On both
>occasions, she ruptured her membranes at 38 weeks, and was wisked into
>theatre there and then.  She tells me she did experience some contractions
>after rupturing her membranes, and whilst in transit to hospital and
waiting
>to go to theatre.
>
>She is planning to have another baby in the future, and has recently
>verbalised her concern, that maybe the caesareans were performed more out
of
>ignorance or convenience in her situation.  She accepts that an epidural
may
>certainly have been out of the question given the rod in her back, however,
>she was never given an opportunity to discuss this further with
>doctors/anaesthetists during either pregnancy.
>
>She was never really told why she "wasn't allowed" to labour on both
>occasions, and now wonders if this was done out of fear or ignorance on the
>subject.  She asked me as her friend and a midwife, what knowledge and
>experience I have regarding this sort of situation.  I thought I would
share
>this with the list to get other's views in the hope that maybe someone else
>out there has had a similar experience.  I
>
>I presume the rod has some degree of flexibility, as this friend of mine
has
>played netball over many years, and has also attended gyms in the past. She
>can sit, lie, knee, stretch, etc.  She experienced absolutely no back
>problems during or following the previous pregnancies and births.
>
>I welcome your comments, thoughts, experiences!
>
>
>Jan
>
>
>
>
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VBAC question

[Julia Monaghan]

Am I missing 
  something here but this sounds like assault. Did the woman consent to 
  this? She only has to say no and we should tell them that they do not 
  have to be subjected to this barbaric treatment. Julia 
M. 

Prof Indemnification again

[Julia Monaghan]

Jessica
 
Can you give me any official 
info on the govt. offer of indemnification that you mentioned? I am running a 
refresher course for rural midwives in Tasmania and indemnification is one major 
issue for us. we would LOVE the state gov to cover all midwives but as yet, they 
have no plans to support us. I am gathering info on how other state govs 
are covering midwives, as this will support our own case. 

 
Unless I've missed the posting, 
no-one has announced the 2002 Tasmanian Midwife of the Year. It is Ruth 
Forrest, who works at the North West Private Hospital in Burnie, here in Tassie. 
Ruth is actively involved in the ACMI as state president. She is also involved 
with NACE and is a great midwife. Well done, Ruth!!   

 
Julia M.
 
hello all,
 
as a 3yrd adelaide bmid-der i was overjoyed to 
hear/read today that the gov/dept human ser. are footing the bill for our 
insurance, 
 
or so thats what i believe/have heard so far (then 
again i have just come off a 8.5hr clinical placement at the 
repat looking after patients no less than 75!!, yep lotsa babies 
thereanyway!!) 
 
im sure there will be more developments as time 
goes on, just thought id put this out there! 
 
hope you are all well
take care
love jessica.

[ozmidwifery] Call for help regarding depictions of the midwife in fiction

[Julia Monaghan]

There is a children's book by Marion Halligan,(an Australian) called The
Midwife's Daughters. My girls loved it.

Another book that I haven't had a look at is by Karen Cushman, and is The
Midwife's Apprentice.

Julia M.

Hello all
I wonder if anyone has any ideas/suggestions regarding any fiction texts
which they have read which feature midwives within the plot either as
central or peripheral characters. Would appreciate any titles as I am
looking at writing an essay on above topic.

Thanks Patricia Bradford

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[ozmidwifery] Call for help regarding depictions of the mi...

[Julia Monaghan]

When 
you finish your list, can you post it on Ozmid? These books sound 
well worth reading or recommending.
Thanks, Julia M  

  I wonder if anyone has any 
ideas/suggestions regarding any fiction textswhich they have read which 
feature midwives within the plot either ascentral or peripheral 
characters. Would appreciate any titles as I amlooking at writing an 
essay on above 
topic.

[ozmidwifery] Benzene testing

[Julia Monaghan]

Title: Message



A lister recently 
asked about the effects of benzene. My brother in NZ is a campaigner against 
high levels of benzene and gave me these links. Hopethey have the info you 
want.
 
http://www.moh.govt.nz/moh.nsf Use the 
search link to take you to the search page and then click on the Search the 
Minstry of Health link. If you type in benzene, youwill come up with four 
documents and the second one is probably the one you 
want.
 
Alternatively, go to the Ministry for the Environment 
web site and look for info on air quality. http://www.mfe.govt.nz 
 
Cheers, Julia 
M.

RE: [ozmidwifery] story help

[Julia Monaghan]

Just to add the placenta saga...

If planting it, make it quite deep, as it is so rich that it may kill
plants, cheers, Julia M.


> Hello,
> >My name is Michelle White. I'm a journo with Triple J's Morning Show. I'm
> >hoping
> >someone on this website might be able to help me out with a story I'm
doing.
> >I'm really interested in doing a piece about parents who choose to eat
the
> >placenta after they've given birth.
> >I've heard lots of anecdotal stories about how it's supposed to prevent
post
> >natal depression and how it's common amongst certain cultures, but am
having
> >trouble finding someone who has actually done it.
> >I'm also wondering if there's someone out there who is an 'expert' on the
> >subject ?
> >Any help would be greatly appreciated !
> >Warm Regards.
> >Michelle.
> >(08) 9 220 2582 (Perth office)
> >or reply to this email!
>
>
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RE: [ozmidwifery] story help

[Julia Monaghan]

Hi, no, I am from Tassie. I know of another Julia Monaghan but she is in New
Zealand.
Cheers, Julia M.



Julia Monaghan,

Are you the Julia from Whyalla?

Cheers

Tania

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RE: [ozmidwifery] Controlled Crying

[Julia Monaghan]

 

  Hi 
  Larissa, If you want more info about "parent directed feeding" (pdf), have a 
  look at this web site which gives a pretty good run down of the potential 
  effects of using it. there are 5 pages but maybe your woman might like to 
  consider the info in them. cheers, Julia M.

  http://dir.salon.com/mwt/feature/1998/08/cov_06feature.html
   
  
  Hi Pinky!
  Can I print off your response 
  and give it to a client??
  At a visit last week I 
  discovered that the parenting program they were going to is actually the Ezzo 
  parenting method!! As this woman was describing to me the "parent led feeding" 
  schedule they had to follow I wanted to cry but it's "guaranteed to have your 
  baby sleeping through in 6 weeks" ack! However she does have your book (and 
  seems to think you are a nice lady!! lol) so there is a glimmer that she is 
  thinking about this. 
  I just think your 
  response says everything perfectly and it would give me an opportunity to 
  open the discussion with her without giving advice "I just happened 
  to see this about controlled crying - what do you think?"
  Many thanks!
  Hugs, Larissa
   
  
- Original Message - 
From: 
Pinky 
McKay 
To: [EMAIL PROTECTED] 

Sent: Tuesday, August 20, 2002 10:16 
PM
Subject: [ozmidwifery] Controlled 
Crying

Hi Darren
For goodness sakes get them a copy of 100 Ways 
to Calm the Crying - and read it yourselfBEFORE you have your bub - you can 
order it from my website - www.pinky-mychild.com
Now I have been so blatant - Controlled Crying 
is actually very unsafe for a baby this young -Training babies to sleep 
too soundly, too early is a SIDS risk . Babies need to be able to arouse if 
they are too hot, too cold, have a breathing obstruction (all SIDS risks) 
.
 
Controlled Crying is also bad for bonding (for 
both parent and child) and; according to a Harvard study actually 
alters the physiology of the brain (rather like a trauma response) 
predisposing the child to later anxiety and depression. Controlled crying/ 
parent directed feeding/ strict routines are also associated with failure to 
thrive (ref to all these in '100 Ways to Calm the Crying" - sorry 
its late and I am trying to meet a deadline so dont have time to look them 
all up right now -but couldnt let this pass without a vent) 
 
 
 i personally see controlled crying at any 
age to be an abusive practice - imagine landing in a strange country, not 
knowing the language and being thirsty or hungry - or simply needing 
reassurance - and finding yourself unable to communicate your needs - we 
only have to put ourselves in our babies bootees for a moment - if our own 
feelings dont scream out loud and clear that THIS DOESNT FEEl 
RIGHT!
 
I keep hearing of babies only a few weeks old 
being "sleep trained" - this is very cruel - these tiny beings have just 
entered a world so different from the womb  - we are the adults here 
-it is up to us to protect babies senses and meet their needs for love and 
emotional well-being as well as food  -and, remember, a newborns 
stomach is around the size of a ping pong ball - it doesnt matter what it is 
fed it will only stay full a very short time - around two hours from the 
bEGINNING of a feed to the next one.
 
For me personally, the issue is that we 
can "control" some babies (teach them to give up because there is no point 
trying to make a difference - and how many adults do you know like this?) 
but this means that we end up seeing babies as little objects to be fixed - 
later, as they grow into more feisty children we seek more quick fixes like 
"behaviour management" - instead of seeing the whole issue as one of a 
relationship -which we need to establish through bonding and mutual respect 
- children learn what they live - and behave as well as they are treated. 

 
It is far easier and much 
more enjoyable to put in the "hard yards" and learn a baby's cues 
and teach her the world is safe in the beginning than to chase our tails 
later as we keep on trying to learn the next fad thing to stay in control as 
we deal with night terrors and clinginess because our kids feel 
insecure.
 
I guess there are a lot of unreal expectations 
around babies feeding and sleeping and very little support for mums and 
dads, possibly because we dont always ask for help -  set up your 
networks for support BEFORE you have your baby - freeze meals and simplfy 
your life - plan your BABYMOON, Darren - AROUND the baby's needs as well as 
your own - it is tiring but the baby shouldnt be the one to 
pay.
 
Be open to receiving support - most of us feel 
privileged to be asked and EVERYONE can share the magic of a 
baby.
 
Best wishes wit