[ozmidwifery] Privately funded birth centres
Hi all, Can anyone tell me whether there are any privately funded birth centres in Australia? If there is, who manages the births and how are the clients billed? Are they shared care with GP/OBs and do the Drs still attend and therefore bill for the birth? Or are the GP/Obs paid an on-call fee just in case??? Can anyone also tell me exactly why the Swan Districts and Mandurah Birth Centres in WA were closed? Cheers, kate
RE: [ozmidwifery] birth and the weather
Hi Kylie, I am not sure about the change in pressure theory but I certainly notice anecdotally that lots of women rupture their membranes on a full moon (and most present with just the ruptured membranes and not yet in labour). The full moon alters the magnetic pull of the earth so I guess that is a change in pressure??? Kate
RE: [ozmidwifery] insulin dependant diabetics
I forgot, I cant see that anyone would have a problem with her bring in her frozen colostrum if she is lucky enough to get a stash pre-natally (I could have filled a few bottles before I had mine!). Cheers, Kate
RE: [ozmidwifery] Post cs support
In WA now the med students (student doctors) in their training attend a SPEC (student pelvic examination clinic) supervised by midwives but the teaching is done by volunteer women (teaching associates) who not only teach the students as they perform the taking of a history, breast, abdo, pelvic exam and pap smear for the women, they also very gently instruct them on the subtleties of obtaining patient consent and on the appropriate language to use during such examinations (they provide further feedback to the students after the exam). It is very interesting to oversee as the students (albeit it nervously) often say things such as Ok, could you just spread your legs now or Im just going to have a feel around in here now to which the women will say to them Did you just hear what you asked me to do? and the students will always rephrase it until the women is happy usually to something like Are you comfortable to let your knees fall apart now? or Is it OK for me to check you ovaries now?. Already nurses and midwives are seeing a big turnaround in the bedside manners of our sensitive new age doctors (and are very grateful to UWA for using more and more midwives and nurses in the design of their teaching programs). Cheers, Kate
RE: [ozmidwifery] article FYI
I agree Gloria, the South Australian research offering this causative link suggests that it is only relevant in the absence of a 'sentinel event' in labour. CP with spastic quadriplegia is almost always associated with hard evidence of significant and prolonged hypoxia during birth - no mere coincidence but the suggestion certainly offers a good out for the Obs (always looking for any excuse to avoid the blame and medical gobbledygook manages to fool the majority). Kate -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] vasa previa
Unless someone actually palpates or visualizes vessels presenting then you could never make the diagnosis and Im sure, in the many I have seen post birth, by the proximity of the vessels to the hole in the membranes that many of the vessels were actually presenting in front of the babies head. Just because vessels are presenting does not guarantee that they will rupture (that is with the Gods!), as someone else has noted as well, in many instances the membranes have torn along side the vessel as opposed to through it. Cheers, Kate
RE: [ozmidwifery] question
Hi Barb, How awful that they were able to bully you out of Birth Suite. You can always report this OB direct to the medical board who are then obliged to fully investigate; you can also discuss anonymity with them as you have been bullied for your efforts. Perhaps your union or the Nurses Board may give you some assistance here and shame on your colleagues for turning a blind eye to such obvious and intentional negligence. You go girl, as all of your observations are well supported in your documentation. Cheers, Kate
RE: [ozmidwifery] question
I cannot find any such RANZCOG policy (i.e. not waiting for restitution) on their website perhaps you could ask the OB to produce it for you to read for yourself??? Ill bet it wont be forthcoming. Kate
RE: [ozmidwifery] Oral EPO dose for cervix?
Hi Kelly, A balloon induction is similar to the old way of induction before E2 gel (used to feed F2alpha into the catheter every 2 hours). A foleys catheter is inserted through the cervix, the balloon is then inflated with 30mls sterile H2O, the catheter is placed on traction (i.e taped firmly to the woman's lower thigh - done while prone with relevant leg bent at knee). The principle is that the inflated balloon stimulates the cervix/prostaglandins and over time ripens the cervix. When the Cx is ripe the catheter will either fall out or come out easy when gently 'tugged'. A small number labour spontaneously but most are then suitable for ARM and if an Ob has anything to do it, synto. KEMH has done a recent study (not sure if published yet), very effective, no need for drugs (therefore less hyperstimulation and associated risks). Insertion is somewhat uncomfortable for women but complications are rare. I can get you a copy of a policy if you would like. Cheers, Kate PS this is the 'in a nutshell' version. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
