Re: [ozmidwifery] MCH and Infant formula

[Lois Wattis]

What a sad reflection of the attitudes of 
the Maternal and Child Health Nurses. Keep up the good work, Barb, you're 
dedication will shed light wherever you go. Kind regards, Lois 
Wattis

  - Original Message - 
  From: 
  barbara 
  glare  chris bright 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, September 03, 2004 6:07 
  AM
  Subject: [ozmidwifery] MCH and 
  Infant formula
  
  Hi,
  
  Last week I had rather an upsetting 
  experience. I was invited to speak at a meeting of local Maternal and 
  Child health nurses about the National Health and Medical Research Council 
  guidelines on infant feeding. I did this in my capacity as a volunteer 
  breastfeeding counsellor.
  
  I reached the venue at the agreed time, my talk 
  well prepared, overheads done (at considerable personal expense ) to 
  find..no-one there. But the table was covered in Nestle sample 
  bags,formula samplesand empty kit kat wrappers. The nurses were 
  out to lunch..paid for by Nestle. The first people arrived back 1/2 
  an hour later than I had been asked to attend. My 20 mnth old daughter 
  was also with me, and while she was well-behaved, she had already been "good" 
  for 1/2 an hour.
  
  Is this common practice in Maternal and child 
  health in Victoria/Australia. Does Maternal and child health have a code 
  of ethics? Does this still go on in hospitals (I would have thought 
  (hoped) not. Who would be the most appropriate person/group to complain 
  to. I don't believe health professionals should compromise themselves in 
  this way, and it is in complete contravention of the WHO code. Some of 
  the nurses have phoned me personally since then to apologise. I think 
  they could tell I was unimpressed
  
  Warm Regards,
  Barb 
  IBCLC
  
  

Re: [ozmidwifery] ObGynWorld.com mail a colleague

[Lois Wattis]

Hooray for the ob's!!!
They've finally discovered that contrary to popular practice, coached
pushing has a negative impact on several urodynamic indices... and
physicians may want to reconsider routine use of the technique
Don't they make you laugh!  If you didn't laugh you'd cry, really.  Sigh.
Lois

- Original Message - 
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Wednesday, August 11, 2004 3:41 PM
Subject: [ozmidwifery] ObGynWorld.com mail a colleague


Dear Colleague,
I thought this article from ObGynWorld.com might interest you:

Experts advise against coached labor
http://www.ObGynWorld.com/international/news/2004/Week_32/Day_5/Experts_advise_again.asp

ObGynWorld.com is the essential resource in obstetrics and gynecology,
offering the latest news plus feature articles and an extensive range of
clinical information. Visit the site at www.ObGynWorld.com.

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Re: [ozmidwifery] Birth summary forms

[Lois Wattis]

Have a look at "Signposts for the Third 
Stage Maze" on my website www.birthjourney.com for guidelines for 
safe physiological third stage management and delayed cord clamping. 
Cheers, Lois


  - Original Message - 
  From: 
  Tania  
  Laurie 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, July 15, 2004 8:02 
  AM
  Subject: Re: [ozmidwifery] Birth summary 
  forms
  
  Liz
  As a mid student, I have also wondered about the 
  cervix closing before the placenta is birthed. With the birth of my third 
  child (at home) we opted for a physiological third stage and have since done 
  some research on the timing of cord clamping. It seems there is a lot of 
  supportive literature for delayed cord clamping with one of the few factors 
  against it being the fear of the cervix closing before birth of the 
  placenta.
  
  Tania
  
- Original Message - 
From: 
Liz 
Newnham 
To: [EMAIL PROTECTED] 

Sent: Wednesday, July 14, 2004 6:59 
PM
Subject: Re: [ozmidwifery] Birth 
summary forms

Hi Jan,
thanks so much for your 
post. I too would love to work outside the hospital system however being a 
recent graduate and having no-one to "apprentice" me, I lack the confidence 
to do so. I feel my only option is to work overseas for a while (an 
expensive option with 3 children and partner in tow). In the meantime I 
embrace the wise-woman knowledge I encounter on this list. I have another 
question too. The docs where I work have the fear that the cervix will close 
before the placenta can birth. I think this is their reasoning for manual 
removals if they are not out in the specified time frame. Is this because of 
the syntocinon given for medically managed third stage, or is this a 
realistic possibility also for physiological third stage? Once again, 
forgive my ignorance.
blessings,Liz.

  - Original Message - 
  From: 
  Jan 
  Robinson 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, July 11, 2004 6:42 
  AM
  Subject: Re: [ozmidwifery] Birth 
  summary forms
  Hi LizI'm lucky that I work outside the hospital system 
  so the guidelines used are safety and the mother's wishes. While ever 
  there is no bleeding I leave well enough alone. It is not good to meddle 
  when conducting a physiologic third stage. Although emergency drugs are in 
  the family fridge they are not used unless excessive bleeding necessitates 
  it.In this particular case the woman had been vomiting towards the 
  end of a very long first labour so she was exhausted after giving birth. 
  After warm herbal tea for fluid replacement (and some home-made chocolate 
  brownie to restore her blood sugar levels) she put her newborn son to the 
  breast but after that she just wanted to close her eyes and sleep. As 
  it was well past midnight, that was what I wanted as well, I tucked my 
  client into her bed where she promptly fell asleep. I slept (very lightly) 
  on the floor beside her. When she awoke in the early hours of the morning 
  she emptied her bladder. I thought the placenta would come away then, but 
  it didn't, so as the baby was still asleep, tucked in with his father, we 
  had a cup of tea and went for a walk. It was some walk, along the 
  northern end of Bondi Beach, climbed up Ben Buckler and walked another two 
  blocks over the top of the hill. She was ready to come home then as she 
  felt she wanted to empty her bowels. So we headed home and sat on the 
  toilet again and with a mighty push the placenta was expelled.On 
  reflection, there was no obvious oedema in the lower birth canal, so I 
  assumed this was simply a case of a very fit woman, with very strong 
  abdominal and pelvic floor muscles that trapped the placenta temporarily. 
  We still look back on this experience and have a laugh at the memory 
  of the neighbours (also super-fit early morning walkers) out on Bondi 
  Beach congratulating my client on having the baby - not knowing that his 
  placenta was still in situ as we were talking!I always get 
  satisfaction when completing the Perinatal Data forms for the Dept of 
  Health.Although there are not a great number of homebirths recorded, 
  the long third stages that often occur at home must affect the state's 
  records of the average time taken.CheersJanJan 
  Robinson Independent Midwife PractitionerNational Coordinator 
  Australian Society of Independent Midwives8 Robin Crescent South 
  Hurstville NSW 2221 Phone/Fax: 02 9546 4350e-mail address: 
  [EMAIL PROTECTED] website: www.midwiferyeducation.com.auOn 
  10/07/2004, at 8:30 PM, Liz Newnham wrote:
  Dear 
Jan,what 
did you do in the situation about the placenta? Where I work at present 
the doctors get twitchy 

Re: [ozmidwifery] Lobbying Update and Federal Election Campaign

[Lois Wattis]

Dear Justine and others, I have just received a call from my Federal Labour
Candidate for Canning Electorate WA (Cimlie Bowden) to tell me that Julia
Gillard will be in Armadale WA and 'available to listen' to our concerns
about local maternity issues next Monday.  We (Peel PRMS Group members Lyn
Cornock and myself) have done the ground work with Cimlie and she is 'the
full bottle' on NMAP and midwifery-led care, and VERY supportive (she is an
RN/midwife).  We are campaigning for a midwifery-led Birth Centre in
Pinjarra WA, and have started circulating a petition to this effect in the
Peel Region, with great responses so far.  As I have 7 babies due in the
next 7 weeks (eeek!!) I will make sure Lyn can attend, as I can't be SURE to
be there.  If you want to send me any particular points relating to other
areas of Oz please forward them to [EMAIL PROTECTED]   The push for birth
reform is gathering momentum!  In solidarity, Lois Wattis, IPM - WA
  - Original Message - 
From: Justine Caines [EMAIL PROTECTED]
To: OzMid List [EMAIL PROTECTED]
Sent: Wednesday, July 14, 2004 1:52 PM
Subject: Re: [ozmidwifery] Lobbying Update and Federal Election Campaign


 Hi Trish


 Great work, and so refreshing to brief someone who knows/gets it!!

 I take it the member is your local federal member?

 If so perhaps you can inform him that Julia Gillard (shadow health
Minister)
 has now cancelled on a contingent from MC and ACMI twice.  I was meant to
be
 in Melb today (and we lost our money on the flight as I had already booked
 it)

 Happy to talk on the phone if in fact he is federal labor as he needs to
 talk to his health minister about listening to us!

 JC
 Xx



 Justine Caines
 National President  Maternity Coalition Inc
 PO Box 105
 MERRIWA  NSW  2329
 Ph: (02) 65482248
 Fax: (02)65482902
 Mob: 0408 210273
 E-Mail: [EMAIL PROTECTED]


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Re: [ozmidwifery] VBAC education

[Lois Wattis]

Have you checked out the VBAC Resource 
Kit? If you inquire through Birthrites - Healing After Caesarean www.birthrites.org who use this kit for 
VBAC education with Peel PRMS Group it should be really helpful. Kind 
regards, Lois Wattis

  - Original Message - 
  From: 
  Susan 
  Cudlipp 
  To: midwifery list 
  Sent: Wednesday, June 09, 2004 10:40 
  PM
  Subject: [ozmidwifery] VBAC 
  education
  
  Dear list
  The recent posts on VBAC have been useful as we 
  are looking into offering Childbirth classes specifically for women who have 
  had a C/S, in addition to the ones presently being offered.
  Does anyone have some previous class formats that 
  may have worked well that they would be happy to share?
  Thanks
  Sue
  

Re: [ozmidwifery] The Observer: 'The safest method of birth is by caesarean'

[Lois Wattis]

How sickening.  Unfortunately this type of biased information is readily
accepted by women fearful of normal birth, particularly when published in
the 'popular press'.  Sigh.  Lois Wattis.
- Original Message - 
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, July 06, 2004 9:31 AM
Subject: [ozmidwifery] The Observer: 'The safest method of birth is by
caesarean'


 Alphia spotted this on the The Observer site and thought you should see
it.

 ---
 Note from Alphia:

 Thought everyone might be interested in this - the flip side of the coin
on what is happening in the UK.
 ---

 To see this story with its related links on the The Observer site, go to
http://www.observer.co.uk

 'The safest method of birth is by caesarean'
 Nicholas Fisk and Sara Paterson Brown
 Sunday May 02 2004
 The Observer


 Obstetricians spend much of their time exploring reasons why women ask for
caesarean births. Sometimes we feel like a recording, going over and over
the same pros and cons surrounding the delivery of their child.

 But now the National Institute for Clinical Excellence (Nice) wants us to
dissuade women from such requests. Its reasons are straightforward: a
short-term cost saving of #163;11 million and a political view that
maternal choice is fine, as long as it is towards' natural childbirth.

 Women, not their doctors, make the choices about family planning,
antenatal testing, where to give birth and whether to breastfeed. So why not
how to give birth? The Nice edict is that maternal request is not an
indication for caesarean delivery. Yet more than half of UK obstetricians
regard vaginal delivery as more dangerous for the baby.

 Women will scarcely be reassured that the Nice 'expert' committee of 16
was chaired by a GP, contained only two obstetricians and was subject to
heavy pressure from Department of Health bureaucrats. Recommendations were
by majority amid considerable dissent, and the report was rushed out after a
staggering 1,400 critical responses.

 The Government's target is the 22 per cent caesarean rate, and in
particular the 9,000 operations done solely at the mother's request. Rates
have risen due to a combination of the improving risk/benefit ratio compared
to vaginal birth, and anthropomorphic pressures. Women reproduce later in
life, have an average of only 1.7 children, and both they and their babies
are getting bigger, resulting in more problems in childbirth. Vaginal birth
damages the pelvic floor of many women, and may lead to serious problems in
the baby. This is set against the background of society's aversion to risk,
and the relative safety of modern caesareans.

 Some requests are ill-founded; most are not. Nice   wants us to offer
women 'cognitive behavioural therapy', yet research shows this has no effect
on a woman's decision.

 What most women want is information. As was evident at last Thursday's
meeting to launch the report, much of the information provided has been
selectively interpreted. Nice misquoted risks for planned caesarean versus
attempting vaginal delivery (it used higher risk figures of all caesareans
compared to the lower risk figures of successful vaginal delivery). Everyone
accepts that the best evidence comes from random studies, where treatments
are allocated by the toss of a coin. However, in childbirth such studies are
few and far between, so it is misleading to equate lack of evidence with
lack of risk.

 Apart from inbred bulldogs which all need caesareans, mankind is the only
species in which the baby's head almost entirely occupies the mother's
pelvis and needs to rotate through 90 degrees to come out. Virtually every
muscle, nerve and tissue in the mother's pelvis is stretched around the
baby's head.

 Little wonder that 10-25 per cent develop problems. The most common is
leaking urine when laughing or coughing, but a few women develop
incontinence of wind or faeces. These 'women's troubles' were not such a
problem in the past but women today are less prepared to tolerate the
inconvenience and stigma of incontinence. Already 11 per cent of women
undergo a vaginal repair operation to correct bladder weakness or prolapse
of the womb.

 The risks to the baby of attempting labour are much smaller than those to
the mother, but potentially more serious. One in 1,800 babies die during
labour. About the same number have fits after birth as a result of oxygen
shortage, although only a third to a fifth of these develop long-term
problems, such as cerebral palsy. Cerebral palsy has other causes, but
planned caesarean reducesthe chance of the baby suffering oxygen
shortage at birth by more than 80 per cent. The greatest risk is the chance
of the baby dying inside the womb while the mother awaits the onset of
natural labour. Adding these up, the overall risk of death or damage to the
baby of vaginal birth is maybe more than one in 500, yet a survey has shown
that the average pregnant woman would want a caesarean to prevent a risk of
one

Re: [ozmidwifery] Must watch! Birth Rites documentary

[Lois Wattis]

This doco was made by one of our WA birth 
activists, Linda Rawlings. Regards, Lois

  - Original Message - 
  From: 
  Jen 
  Semple 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, July 05, 2004 9:41 AM
  Subject: [ozmidwifery] Must watch! Birth 
  Rites documentary
  
  
  Thursday 8/7 8:30pm SBSSTORYLINE AUSTRALIA - BIRTH RITES
  Birth Rites is a documentary that draws a powerful comparison between 
  birth issues in outback Australia and the icy regions of arctic Canada. It 
  would be hard to imagine being evacuated for an impending birth by bus or 
  plane to a large hospital far from home, where your first language is not 
  spoken. Birth Rites reveals that while the majority of Aboriginal women comply 
  with the evacuation policy, many feel that the practice is undermining 
  indigenous traditions and culture, a practice at odds with the very system 
  that aspires to help the new mothers and their babies by providing a high 
  level of obstetric care. The women's distress often creates an avoidance 
  of the medical system. Women hide their pregnancy and present at the clinics 
  in an advanced stage of labour, so that they won't be sent away. In 
  contrast, Inuit women in remote Northern Canada have stopped being 
  evacuated for births because they now have a remote birth centre in their 
  small town. I! ndigenous midwives have been trained locally and provide the 
  benefits of both western medicine and their own culture. 
  
  
  Find local movie times and trailers on Yahoo! Movies.

Re: [ozmidwifery] VBAC Support Groups

[Lois Wattis]

Hi Abby - here in WA we have Birthrites - Healing After Caesarean
www.birthrites.org  Also Peel PRMS Group (Pregnancy Resources and Midwifery
Support Group) in the Peel Region (south of Perth) provide VBAC education
sessions and a support group called Bumps and Babies www.birthjourney.com
select PRMS webpage.  The Community Midwifery Program in WA supports women
wanting VBAC, and provides 1-2-1 midwifery care, with births planned in
hospital, and continuing care at home by known midwife after the birth.
Cheers, LoisWattis, IPM.

- Original Message - 
From: Abby and Toby [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, July 04, 2004 9:48 PM
Subject: [ozmidwifery] VBAC Support Groups


 Hi,

 Does anyone here run support groups for women planning vbacs? I would love
 to hear from you if you do.
 [EMAIL PROTECTED]

 Thanks
 Love Abby

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Re: [ozmidwifery] Fw: News

[Lois Wattis]

CONGRATULATIONS 
JOLong live love! Lois

  - Original Message - 
  From: 
  JoFromOz 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, June 28, 2004 10:00 
AM
  Subject: [ozmidwifery] Fw: News
  
  
  
  
  Hi all :)
  
  I've been offline for the last 2 weeks as I was in Melbourne and then we 
  moved into our new home! 
  
  Not only that, but my partner of almost 7 years, Matthew, proposed to me 
  very romantically when I opened the front door to our new home with the key. 
  :)
  
  So I am all a bit excited now! We will get married sometime in the 
  summer either in our backyard or in our living area, depending on the weather 
  :) Babies nottoo long after that, I hope!
  
  Just had to share :)
  
  Great news about the Victorian Midwifery scheme, too.
  
  Love,
  Jo
  
  --
  Babies are Born... Pizzas are Delivered.
  
aleabanr.gifLeaves Bkgrd.jpg

Re: [ozmidwifery] Cord Clamping

[Lois Wattis]

Hello Tania,
Here are some leads for you
www.birthjourney.com and select the Third Stage button for Signposts for
the third stage maze

New text book - Midwifery Best Practice 2, Edited by Sara Wickham - page 112
The Third Stage Maze- Which Practice pathway for optimum outcomes? L.
Wattis.  This was first published in the Practising Midwife April 2001 Vol4
No.4
 If  I can assist with your work you can contact me off list on
[EMAIL PROTECTED] .  Kind regards, Lois Wattis - Community Midwife WA

- Original Message - 
From: Tania  Laurie [EMAIL PROTECTED]
To: [EMAIL PROTECTED] [EMAIL PROTECTED]
Sent: Wednesday, June 23, 2004 12:00 PM
Subject: [ozmidwifery] Cord Clamping


 Hi Everyone
 My name is Tania and I am doing the 3 year Bachelor of Midwifery at Uni
SA.
 As a component of our research courses, I have chosen to look at the
 practice of cord clamping. In particular early vs delayed clamping. In my
 search of the literature I found an abundance of articles supporting
delayed
 clamping for both term and preterm babies for various/numerous reasons
which
 I won't go in to here at the moment.

 I'm wondering if any midwives out there would be willing to post their
views
 about this issue and their reasons for practicing either early or delayed
 cord clamping. I'm particularly interested in whether it is evidence
based,
 based on tradition or is it protocol for particular venues?

 I have been able to find some studies relating to cord clamping and would
be
 grateful if anyone out there can point me to any further recent
 articles/studies etc.

 Thanks for your time
 Tania


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Re: [ozmidwifery] greetings

[Lois Wattis]

Dear Jock, you may like to consider being in Western Australia in October as
the National Homebirth Conference is taking place in Mandurah, WA on 30th
and 31st October.  It would be a great way for you to meet and network with
some key persons involved in the homebirth scene in Australia.  Best wishes,
Lois Wattis, Community Midwife.

- Original Message - 
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Sent: Wednesday, June 09, 2004 4:53 AM
Subject: [ozmidwifery] greetings


 G'day!

 Andrea Robertson and Sarah Buckley suggested I join the list.

 My name is Jock Doubleday, and I am an advocate of midwifery. Some of you
may have read my articles in Midwifery Today and other magazines.

 I have just completed a five-year book project: Spontaneous Creation: 101
Reasons Not to Have Your Baby in a Hospital (see www.SpontaneousCreation.org
for a chapter excerpt).

 The book argues that, while hospital obstetric technology is appropriate
in some cases, and can certainly be life saving, the vast majority of births
can take place safely at home with a midwife in attendance. (The book is
going to be published soon through the nonprofit corporation Natural Woman,
Natural Man  www.GentleBirth.org/nwnm.org)

 I am not joining the list to hawk my book, though. I am moving to
Australia in late August, and I want to become part of a vigorous natural
childbirth and anti-vaccinatin community. I thought joining this list might
help me on my way.

 I have never been to Australia. I am making inquiries about the best
place to live and getting lots of different answers. I'm hoping to live in
a rural or semi-rural environment--I'm not a big city guy.

 And ideally, I'd like to do a work trade (landscaping in exchange for a
room/guest house) or straight housesitting/petsitting. I have numerous
references from work trade and housesitting arrangements here in the States.

 My desire is to continue my writing in a peaceful setting while doing the
outdoor shovel work that few others seem to enjoy but which I do enjoy.

 I could get a real job, of course, but it would have to be part-time. I
have several resumes (in the fields of teaching, copy editing, copy writing,
playwriting/screenwriting, and nonprofit-related work).

 I am looking forward to pursuing a new life in Australia and to working
with a community of nature-lovers who are working to promote natural living
practices within the larger community.

 In health,
 Jock Doubleday


 Jock Doubleday
 Director
 Natural Woman, Natural Man, Inc.
 A California 501(c)3 Nonprofit Corporation
 323 E. Matilija, Suite 110-131
 Ojai, CA 93023
 U.S.A.
 www.GentleBirth.org/nwnm.org
 www.SpontaneousCreation.org
 [EMAIL PROTECTED]
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Re: [ozmidwifery] FW: 60 Mins Caesarean Section

[Lois Wattis]

Title: FW: 60 Mins & Caesarean Section



Well said Justine!
I recently attended an ACMI Seminar in WA on 
Waterbirth. A neonatologist who spoke reported some statistics 
whichare worthemphasising in our talks withwomen, and letters 
tomedia -

Babies born by caesarean section are 16 
times more likely toneed to be admitted to special care nursery due to 
respiratory problems related to their mode of birth; 
and
Babies born of women whose labours were 
induced are 4 times more likely to be admitted to special care 
nursery.

One would hope all mothers-to-be would regard these 
statistics as compelling reasons to avoid both interventions if at all 
possible. Keep up the great work! Regards, Lois

  - Original Message - 
  From: 
  Justine Caines 
  To: OzMid List 
  Sent: Monday, June 07, 2004 8:46 PM
  Subject: [ozmidwifery] FW: 60 Mins  
  Caesarean Section
  Hi all Here’s a message to Ann and a letter 
  to the EdJCxx-- Forwarded MessageFrom: Justine 
  Caines [EMAIL PROTECTED]Date: 
  Mon, 07 Jun 2004 23:45:27 +1100To: [EMAIL PROTECTED]Subject: 
  60 Mins  Caesarean SectionDear 
  AnnI was disappointed to see your piece regarding the 60 Mins story. 
  I appeared on the show as the “natural birth advocate” I am in 
  fact the National President of Australia’s only national maternity advocacy 
  organisation, The Maternity Coalition. I work for 30 hours each week 
  (unpaid) to try and improve maternity services for Australian women, with 
  particular emphasis on enabling women to make a range of choices and to 
  receive better support (especially in the post-natal 
  period).Considering you are passionate about choice you may like to 
  assist us to to provide a full scope of choice. Through our work and 
  research available we know that the majority of Australian women would choose 
  to be cared for by a known midwife if this care was funded. One to one 
  midwifery care is recognised by the World Health Organisation as the most 
  appropriate and cost effective care for normal pregnancies (around 80%).In 
  New Zealand women have been able to choose either a midwife, GP or 
  Obstetrician for over 10 years. Before the choice was available 14% of 
  NZ women chose a midwife, now 70% of women do.In Australia 0.2% of 
  women can chose to be cared for by a known midwife.I would be happy to 
  talk with you about this further, and hope you can assist Australian women to 
  make the best choice for them. Below is a copy of a letter to the 
  Editor.Kind regardsJustine–Justine 
  CainesNational President Maternity Coalition IncPO Box 
  105MERRIWA NSW 2329Ph: (02) 65482248Fax: 
  (02)65482902Mob: 0408 210273E-Mail: 
  [EMAIL PROTECTED]Ann Peacocks piece praising the 
  60 Minutes on caesarean section birth sadly missed the point.I 
  appeared on 60 Minutes as the ‘natural birth advocate’ I am in fact the 
  National President of Australia’s only national maternity advocacy 
  organisation, The Maternity Coalition.60 Minutes approached with a 
  story of the little known risks of caesarean section, that of emergency 
  hysterectomies after caesarean section. Although they were aware of the 
  information 60 Minutes did not reveal that in Victoria there has been a 
  140% increase in the last 3 reported years (20 in 1999 to 48 in 2002) of 
  emergency hysterectomy following caesarean section. On March 29 the Age 
  reported“Professor King, who chairs the committee that gathers data 
  on childbirth in Victoria, said he believed that caesarean section should be 
  advised against where there was no medical reason for the surgery.” 
  Women should have choices in childbirth. Our organisation 
  has committed Mother’s across the country working voluntarily to improve 
  maternity services as they raise their own children. Anne reporting your 
  own experience does nothing to provide women with facts or enable them to make 
  informed choices about such an important life event.Compared with 
  normal vaginal birth caesarean section increases the chance of the mother 
  dying by up to 6 times, many babies born by c/s require admission to intensive 
  care (due to respiratory distress as their lungs are not stimulated by the 
  birth process), in around 10% of cases babies are cut in the process. 
  And after all that the rate of urinary incontinence is similar for women 
  who have had natural births and caesarean section. In fact a study 
  actually found religious Nuns who had never borne children similarly suffered 
  incontinence . Women deserve to know the facts before they 
  choose.–Justine 
  CainesNational President Maternity Coalition IncPO Box 
  105MERRIWA NSW 2329Ph: (02) 65482248Fax: 
  (02)65482902Mob: 0408 210273E-Mail: [EMAIL PROTECTED]-- End of 
  Forwarded Message

Re: [ozmidwifery] FW: 60 Mins Caesarean Section

[Lois Wattis]

Title: FW: 60 Mins & Caesarean Section



Yes, a sheet of refs was provided by ACMI at the 
conference. I will just need to locate them, and I'll post them to the 
list. Cheers, Lois

  - Original Message - 
  From: 
  Pinky McKay 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, June 08, 2004 6:14 
AM
  Subject: Re: [ozmidwifery] FW: 60 Mins 
   Caesarean Section
  
  Do you have refs for these stats 
  lois?
  pinky
  
- Original Message - 
From: 
Lois 
Wattis 
To: [EMAIL PROTECTED] 

Sent: Tuesday, June 08, 2004 12:57 
AM
Subject: Re: [ozmidwifery] FW: 60 Mins 
 Caesarean Section

Well said Justine!
I recently attended an ACMI Seminar in WA on 
Waterbirth. A neonatologist who spoke reported some statistics 
whichare worthemphasising in our talks withwomen, and 
letters tomedia -

Babies born by caesarean section 
are 16 times more likely toneed to be admitted to special care nursery 
due to respiratory problems related to their mode of birth; 
and
Babies born of women whose labours 
were induced are 4 times more likely to be admitted to special care 
nursery.

One would hope all mothers-to-be would regard 
these statistics as compelling reasons to avoid both interventions if at all 
possible. Keep up the great work! Regards, Lois

  - Original Message - 
  From: 
  Justine Caines 
  To: OzMid List 
  Sent: Monday, June 07, 2004 8:46 
  PM
  Subject: [ozmidwifery] FW: 60 Mins 
   Caesarean Section
  Hi all Here’s a message to Ann and a 
  letter to the EdJCxx-- Forwarded MessageFrom: 
  Justine Caines [EMAIL PROTECTED]Date: 
  Mon, 07 Jun 2004 23:45:27 +1100To: [EMAIL PROTECTED]Subject: 
  60 Mins  Caesarean SectionDear 
  AnnI was disappointed to see your piece regarding the 60 Mins 
  story. I appeared on the show as the “natural birth advocate” 
  I am in fact the National President of Australia’s only national 
  maternity advocacy organisation, The Maternity Coalition. I work for 
  30 hours each week (unpaid) to try and improve maternity services for 
  Australian women, with particular emphasis on enabling women to make a 
  range of choices and to receive better support (especially in the 
  post-natal period).Considering you are passionate about choice you 
  may like to assist us to to provide a full scope of choice. Through 
  our work and research available we know that the majority of Australian 
  women would choose to be cared for by a known midwife if this care was 
  funded. One to one midwifery care is recognised by the World Health 
  Organisation as the most appropriate and cost effective care for normal 
  pregnancies (around 80%).In New Zealand women have been able to choose 
  either a midwife, GP or Obstetrician for over 10 years. Before the 
  choice was available 14% of NZ women chose a midwife, now 70% of women 
  do.In Australia 0.2% of women can chose to be cared for by a known 
  midwife.I would be happy to talk with you about this further, and 
  hope you can assist Australian women to make the best choice for them. 
  Below is a copy of a letter to the Editor.Kind 
  regardsJustine–Justine 
  CainesNational President Maternity Coalition IncPO Box 
  105MERRIWA NSW 2329Ph: (02) 65482248Fax: 
  (02)65482902Mob: 0408 210273E-Mail: 
  [EMAIL PROTECTED]Ann Peacocks piece praising the 60 Minutes on caesarean section 
  birth sadly missed the point.I appeared on 60 Minutes as the 
  ‘natural birth advocate’ I am in fact the National President of 
  Australia’s only national maternity advocacy organisation, The Maternity 
  Coalition.60 Minutes approached with a story of the little known 
  risks of caesarean section, that of emergency hysterectomies after 
  caesarean section. Although they were aware of the information 60 
  Minutes did not reveal that in Victoria there has been a 140% 
  increase in the last 3 reported years (20 in 1999 to 48 in 2002) of 
  emergency hysterectomy following caesarean section. On March 29 the 
  Age reported“Professor King, who chairs the committee that 
  gathers data on childbirth in Victoria, said he believed that caesarean 
  section should be advised against where there was no medical reason for 
  the surgery.” Women should have choices in childbirth. 
  Our organisation has committed Mother’s across the country working 
  voluntarily to improve maternity services as they raise their own 
  children. Anne reporting your own experience does nothing to provide 
  women with facts or enable them to make informed choices about such an 
  important life event.Compared with normal vaginal birth caesarean 
  section increases the ch

Re: [ozmidwifery] IPM

[Lois Wattis]

Well done Rosemary. Congratulations on all you 
have achieved!!! (Hug) Lois Wattis


  - Original Message - 
  From: 
  Rosemary 
   Wayne Weckert 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, August 05, 2003 8:34 
  PM
  Subject: [ozmidwifery] IPM
  
  To all those people who have assisted me over the 
  past year with your valuable contributions Thank you. Today I received a 
  certificate in the mail saying I was an Independantly Practicing midwife. All 
  the encouraging messages and the reasons to continue whenI could easiliy 
  have given it away have been appreciated. I hope to meet some of you in Darwin 
  at the conference where I will be presenting Project Desert Rose, 
  verynervously I might add.
  Regards Rosemary 
  Project Desert Rose Midwife
  Alice 
Springs

Re: [ozmidwifery] Any ideas for research and mosiac?

[Lois Wattis]

Hi again Juliana - the client I wrote about has chosen not to have ANY
ultrasounds, so LMP dates only.  Confounding factor is that they don't
recall having sex in the month between her last 2 periods, so took the
earlier date as the one to go by for conception (prior).  Your information
confirms what I already thought, but it's great to have it really clearly
researched and evidence-based.  I'll keep you informed as to her progress!

Thank you for offering to send your research paper.  My postal (office)
address is 39 McLarty Road, Pinjarra WA 6208, and my email is
[EMAIL PROTECTED] .   Cheers, Lois

- Original Message -
From: Juliana Brennan [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Monday, August 04, 2003 9:52 AM
Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


Lois,
Is this woman going by ultrasound dates or menstrual dates?  Why are her
dates doubtful?

There are risks to continuing pregnancy beyond term.  The risk of perinatal
death increases from 0.7 ongoing pregnancies at 37 weeks gestation to 2.4
ongoing pregnancies at 40 weeks, to 2.8 at 41 weeks, to 4.8 at 42 weeks to
5.8 ongoing pregnancies at 43 weeks gestation (Hilder et al 1998).  The risk
of perinatal death increases with the onset of labour (Enkin 2000).  What
remains controversial is whether induction of labour reduces the rate of
perinatal mortality in women with post dates pregnancy.  From the meta
analysis of 11 RCT's conducted between 1969 and 1992 comparing induction of
labour from 41 plus weeks to a conservative approach suggests a reduction in
perinatal mortality with induction of labour (Caritis 1995, Kierse 1993).
However, many reviews have been published recently questioning the validity
of the results found from these studies (Menticoglou 2002, Caritis 1995 and
Kierse 1993).  After extensive reading of these articles and their
arguments, the summary that I came up with was that there appears to be no
justification for a routine policy on induction of labour beyond 42
completed weeks gestation, as research does not conclusively show that
induction of labour decreases the rate of perinatal morbidity and mortality
compared with a conservative approach to post dates pregnancy.

From my experience, most women choose induction of labour over a
conservative approach to post dates pregnancy.  Research hasn't been done on
women's views associated with continuing with pregnancy beyond term (42
weeks), however the reason why I chose this topic for my masters project was
that I came accross some women who did not want to be induced at 42 weeks.
Some women had experienced induction at 42 weeks before and gave birth to
healthy babies without any evidence that their babies were post dates.  Did
these women have naturally longer pregnancy gestations?  Would a
conservative approach put them at risk?  These are the sort of questions I
set out to try and answer.

How can we identify the 4.8 per 1000 ongoing pregnancies at 42 weeks and the
5.8 per 1000 ongoing pregnancies that are going to end up resulting in
perinatal death beyond 43 weeks gestation?  CTG is of no benefit.  One
possible way of detecting post dates pregnancies which are becoming high
risk is the use of doppler ultrasound.  However, there have been no studies
to date performed looking at the use of doppler ultrasound for women with
post dates pregnancies specifically, just high risk pregnancy such as
hypertension.  The results from these high risk studies are pleasing in
detecting pregnancies at risk, however the pathophysiology of post dates
pregnancy (placental insufficiency) may be different to that of women with
hypertension.

I would be happy to e mail you my guidelines off list.  I am hoping to
publish my findings in ACMI journal soon.  I don't want to publish the
policy alone as the arguments to both approaches to post dates pregnancy
need to be included with the publication.

I know my response has been long winded, but hopefully it has been helpful
for this woman.
Regards,
Juliana

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Lois Wattis
Sent: Monday, 4 August 2003 10:03 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


Julianne, I would like to read your paper too.  I have a client more that 3
weeks post dates at present, and agonising about what to do because she does
not want to be induced.  Her dates are doubtful, and I think she's just term
now.  Nevertheless, the pressure is on by the very supportive ob., and
scarey stories about dangers of post maturity are abounding.  Could you
please provide some info based on your 'policy'?  Thanks, Lois

- Original Message -
From: sally westbury [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 9:20 PM
Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


It would be great to see this policy you wrote. It is such hard choice.

Love Sally

-Original Message-
From: [EMAIL

Re: [ozmidwifery] Any ideas for research and mosiac?

[Lois Wattis]

Dear Robin, I had a look at this website and I'd like to know if it is
possible to order these directly from Colin Heaney in Byron Bay, rather than
via the website which is USA based, and US$ ph etc.  Any ideas?  Regards,
Lois

- Original Message -
From: Robin Moon [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 6:43 AM
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


Jo, what about using the goddess of fertility on your table?

Colin Heaney in Byron Bay does a beautiful glass sculpture of her. I have
two of these little scuptures because they're so beautiful to hold and feel.
 http://www.yoni.com/cheaney/goddesses1.shtml.

Also, I too think we should be digging at the issue of routine Vitamin K.
Any research to stir the pot would be useful, as it's so entrenched in our
hospitals. Or, if you really want to stir people up, why not research the
current favourite policy of suggesting that ALL babies be Hep B immunised,
and the link into disturbance of estblishing breast feeding?

cheers,
Robin

- Original Message -
From: Neretlis, Bethany [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Saturday, August 02, 2003 6:42 PM
Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


 jo, i can't think of any research ideas at the moment. however, and idea
for
 artwork i have been meaning to do myself but as a sculpture is the classic
 breastfeeding mother looking down on her babe, bubs hand on mothers
breast.

 love  Bethany

 -Original Message-
 From: Lois Wattis [mailto:[EMAIL PROTECTED]
 Sent: Saturday, 2 August 2003 15:06
 To: [EMAIL PROTECTED]
 Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


 Hi Jo!  (HUG!!)  Great to hear from you.
 Idea's for a Masters.. hmmm - how about something about vitamin K
 administration (especially intramuscular injection at birth), and it's
 (suspected) link to increased rates of jaundice in newborns.   Do babies
 given oral vit K have less incidence of jaundice requiring phototherapy?
Do
 babies who are not given vitamin K at all have the same or less incidence
of
 jaundice?  It seems to me a high number of babies born in hospitals seem
to
 develop jaundice which requires phototherapy.  Could the common
denominator
 be the IM Vit. K?? causing increased viscosity of the circulating blood,
so
 therefore increased deposition / slower elimination of unconjugated
 bilirubin?  I wonder?.

 Idea's for a mosaic?  What about something similarly constructed to the
CMP
 logo - a picture of a woman and baby in the centre, with the houses and
 linked figures holding hands around the edge?  You've got me thinking
about
 art work now!  Take care my friend, love Lois


 - Original Message -
 From: Mrs Joanne M Fisher
 To: Ozmidwifery
 Sent: Saturday, August 02, 2003 9:50 AM
 Subject: [ozmidwifery] Any ideas for research and mosiac?


 Dear List,

 I've just returned to Brisbane and have re-joined the list again after
 spending time in Perth doing some observations for my studies with the
 fabulous midwives of the CMP - (Hi all you lovely ladies over there).
This
 is a wonderful list to be on and so educatonal.  I've been asked by my
tutor
 to talk to the Grad Dip Mid students at ACU in Oct, so I'll be
 enthusiastically spreading the word of continuous midwifery care.  She (my
 tutor) is also encouraging me to do my Masters, (not sure if I will yet),
so
 I was wondering if anyone out there had suggestions for me for subjects
that
 I could do a small research on.  I've never done anything like this before
 and know nothing about research, (I'm a hospital midwife and have only
 recently embarked on university studies).  I already have some vague ideas
 but I'm sure there are plenty of other ideas that I haven't thought of.
 I also want to mosiac my coffee table and would love to do something that

 symbolized birth/midwives etc, but being a hopeless artist I haven't been
 able to think of a simple design to do.  Can anyone help???

 Cheers,
 Joanne (Fisher)
 --
 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] Any ideas for research and mosiac?

[Lois Wattis]

Hi Jo - how about picking some photo's or pictures you like, scanning them,
printing them out, and using them for your template for your mosaic.  Or you
could use the pictures themselves, cut up, mosaic style??  Love Lois

- Original Message -
From: Mrs Joanne M Fisher [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 3:18 PM
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


Thankyou all of you that have given me suggestions for my research topic and
my table.  If there are any more ideas please send them to me.  I'm not one
to make quick decisions!
An idea for research I had was to look at why there are so many inductions
these days, does anyone know if there's been anything done on that?  The
ideas of Vit. K and Hep. B are also very good suggestions.
The suggestions for my table have been fabulous although too bad I'm no good
at drawing them which I'll need to do before I do the mosaic!
Cheers,
Joanne.

- Original Message -
From: Robin Moon [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 8:43 AM
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


 Jo, what about using the goddess of fertility on your table?

 Colin Heaney in Byron Bay does a beautiful glass sculpture of her. I have
 two of these little scuptures because they're so beautiful to hold and
feel.
  http://www.yoni.com/cheaney/goddesses1.shtml.

 Also, I too think we should be digging at the issue of routine Vitamin K.
 Any research to stir the pot would be useful, as it's so entrenched in our
 hospitals. Or, if you really want to stir people up, why not research the
 current favourite policy of suggesting that ALL babies be Hep B immunised,
 and the link into disturbance of estblishing breast feeding?

 cheers,
 Robin

 - Original Message -
 From: Neretlis, Bethany [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Saturday, August 02, 2003 6:42 PM
 Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


  jo, i can't think of any research ideas at the moment. however, and idea
 for
  artwork i have been meaning to do myself but as a sculpture is the
classic
  breastfeeding mother looking down on her babe, bubs hand on mothers
 breast.
 
  love  Bethany
 
  -Original Message-
  From: Lois Wattis [mailto:[EMAIL PROTECTED]
  Sent: Saturday, 2 August 2003 15:06
  To: [EMAIL PROTECTED]
  Subject: Re: [ozmidwifery] Any ideas for research and mosiac?
 
 
  Hi Jo!  (HUG!!)  Great to hear from you.
  Idea's for a Masters.. hmmm - how about something about vitamin K
  administration (especially intramuscular injection at birth), and it's
  (suspected) link to increased rates of jaundice in newborns.   Do babies
  given oral vit K have less incidence of jaundice requiring phototherapy?
 Do
  babies who are not given vitamin K at all have the same or less
incidence
 of
  jaundice?  It seems to me a high number of babies born in hospitals seem
 to
  develop jaundice which requires phototherapy.  Could the common
 denominator
  be the IM Vit. K?? causing increased viscosity of the circulating blood,
 so
  therefore increased deposition / slower elimination of unconjugated
  bilirubin?  I wonder?.
 
  Idea's for a mosaic?  What about something similarly constructed to the
 CMP
  logo - a picture of a woman and baby in the centre, with the houses and
  linked figures holding hands around the edge?  You've got me thinking
 about
  art work now!  Take care my friend, love Lois
 
 
  - Original Message -
  From: Mrs Joanne M Fisher
  To: Ozmidwifery
  Sent: Saturday, August 02, 2003 9:50 AM
  Subject: [ozmidwifery] Any ideas for research and mosiac?
 
 
  Dear List,
 
  I've just returned to Brisbane and have re-joined the list again after
  spending time in Perth doing some observations for my studies with the
  fabulous midwives of the CMP - (Hi all you lovely ladies over there).
 This
  is a wonderful list to be on and so educatonal.  I've been asked by my
 tutor
  to talk to the Grad Dip Mid students at ACU in Oct, so I'll be
  enthusiastically spreading the word of continuous midwifery care.  She
(my
  tutor) is also encouraging me to do my Masters, (not sure if I will
yet),
 so
  I was wondering if anyone out there had suggestions for me for subjects
 that
  I could do a small research on.  I've never done anything like this
before
  and know nothing about research, (I'm a hospital midwife and have only
  recently embarked on university studies).  I already have some vague
ideas
  but I'm sure there are plenty of other ideas that I haven't thought of.
  I also want to mosiac my coffee table and would love to do something
that
  symbolized birth/midwives etc, but being a hopeless artist I haven't
been
  able to think of a simple design to do.  Can anyone help???
 
  Cheers,
  Joanne (Fisher)
  --
  This mailing list is sponsored by ACE Graphics.
  Visit http://www.acegraphics.com.au to subscribe or unsubscribe.


 --
 This mailing list

Re: [ozmidwifery] Any ideas for research and mosiac?

[Lois Wattis]

Julianne, I would like to read your paper too.  I have a client more that 3
weeks post dates at present, and agonising about what to do because she does
not want to be induced.  Her dates are doubtful, and I think she's just term
now.  Nevertheless, the pressure is on by the very supportive ob., and
scarey stories about dangers of post maturity are abounding.  Could you
please provide some info based on your 'policy'?  Thanks, Lois

- Original Message -
From: sally westbury [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 9:20 PM
Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


It would be great to see this policy you wrote. It is such hard choice.

Love Sally

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Juliana
Brennan
Sent: Sunday, 3 August 2003 7:28 PM
To: [EMAIL PROTECTED]
Subject: RE: [ozmidwifery] Any ideas for research and mosiac?

Dear Jo,
Post dates pregnancy is one of the most common reasons cited for
inducing
labour.  When I did my Masters last year I looked into the care of women
with post dates pregnancy.  I looked at Induction of labour as one
approach
and conservative care as the other.  I didn't do any research as such,
it
was more a critical literature review and I then wrote a policy for the
care
of women with post dates pregnancy from a woman's choice perspective.
ie a
conservative approach vs induction of labour.

I mainly concentrated on the risks and benefits of induction of labour
vs an
alternative approach  to post dates pregnancy, cost of both approaches,
perinatal mortality and morbidity associated with either approach, fetal
surveillance methods used for conservative approaches and their
effectiveness, accurate pregnancy dating, and the use of alternative
practices to induce or augment labour.

Good luck with your studies.
Juliana


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Mrs Joanne M
Fisher
Sent: Sunday, 3 August 2003 5:18 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


Thankyou all of you that have given me suggestions for my research topic
and
my table.  If there are any more ideas please send them to me.  I'm not
one
to make quick decisions!
An idea for research I had was to look at why there are so many
inductions
these days, does anyone know if there's been anything done on that?  The
ideas of Vit. K and Hep. B are also very good suggestions.
The suggestions for my table have been fabulous although too bad I'm no
good
at drawing them which I'll need to do before I do the mosaic!
Cheers,
Joanne.

- Original Message -
From: Robin Moon [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 8:43 AM
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


 Jo, what about using the goddess of fertility on your table?

 Colin Heaney in Byron Bay does a beautiful glass sculpture of her. I
have
 two of these little scuptures because they're so beautiful to hold and
feel.
  http://www.yoni.com/cheaney/goddesses1.shtml.

 Also, I too think we should be digging at the issue of routine Vitamin
K.
 Any research to stir the pot would be useful, as it's so entrenched in
our
 hospitals. Or, if you really want to stir people up, why not research
the
 current favourite policy of suggesting that ALL babies be Hep B
immunised,
 and the link into disturbance of estblishing breast feeding?

 cheers,
 Robin

 - Original Message -
 From: Neretlis, Bethany [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Saturday, August 02, 2003 6:42 PM
 Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


  jo, i can't think of any research ideas at the moment. however, and
idea
 for
  artwork i have been meaning to do myself but as a sculpture is the
classic
  breastfeeding mother looking down on her babe, bubs hand on mothers
 breast.
 
  love  Bethany
 
  -Original Message-
  From: Lois Wattis [mailto:[EMAIL PROTECTED]
  Sent: Saturday, 2 August 2003 15:06
  To: [EMAIL PROTECTED]
  Subject: Re: [ozmidwifery] Any ideas for research and mosiac?
 
 
  Hi Jo!  (HUG!!)  Great to hear from you.
  Idea's for a Masters.. hmmm - how about something about vitamin K
  administration (especially intramuscular injection at birth), and
it's
  (suspected) link to increased rates of jaundice in newborns.   Do
babies
  given oral vit K have less incidence of jaundice requiring
phototherapy?
 Do
  babies who are not given vitamin K at all have the same or less
incidence
 of
  jaundice?  It seems to me a high number of babies born in hospitals
seem
 to
  develop jaundice which requires phototherapy.  Could the common
 denominator
  be the IM Vit. K?? causing increased viscosity of the circulating
blood,
 so
  therefore increased deposition / slower elimination of unconjugated
  bilirubin?  I wonder?.
 
  Idea's for a mosaic?  What about something similarly constructed to
the
 CMP
  logo

Re: [ozmidwifery] Article in the local paper...

[Lois Wattis]

Well done Tania. Local level communication is the 
'grass roots' of getting the message across. Cheers, Lois

  - Original Message - 
  From: 
  Tom, Tania and Sam 
  Smallwood 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, August 03, 2003 7:47 
  PM
  Subject: [ozmidwifery] Article in the 
  local paper...
  
  Me again, here is the article, please excuse any typo's, 
  I'll try and get it across as accurately as I can! From the Hills 
  Courier newspaper, Wed, July 23, 2003.
  
  
  "Midwives popular choice with expectant 
  mothers"
  
  Expectant mothers are still choosing to birth with midwives 
  despite problems with insurance and a lack of government support, a local 
  midwife has said.
  
  Stirling midwife Tania Smallwood said although midwives had 
  not had access to professional indemnity insurance since July 2001, the number 
  of women choosing midwives as carers during pregnancy and birth had not 
  dropped. "Quite the opposite really, we're very busy" she said. 
  
  
  "I don't have insurance, like every other midwife in 
  Australia. There is no professional indemnity insurance available. 
  I practise with another midwife, Wendy Thornton, and we're actually very busy 
  indeed, and turning people away."
  
  Mrs Smallwood said although midwives were extremely popular, 
  they were not held in the same esteem as other health professionals, such as 
  doctors and dentists. "If all our dentists lost their insurance all hell 
  would break loose," she said.
  
  "But we don't have a system here that supports a known 
  midwife."
  
  Mrs Smallwood said choosing a midwife as the primary care 
  provider during pregnancy and birth could save the taxpayer up to $3000 a 
  birth.
  
  "Personal Care"
  
  "If a woman decides to have antenatal care and postnatal 
  care with a midwife and get out of hospital as quickly as possible, there is 
  very little cost to the taxpayer," she said.
  
  Mrs Smallwood said many women chose to be cared for by a 
  midwife because it meant a more personal level of care. "Women have got 
  to stand up and say, 'I deserve to have someone I know right from the start 
  who's there at the birth',"she said.
  
  Expectant mother Casey Franchi of Lobethal said having a 
  midwife assisting during the birth seemed the logical choice. "It's more 
  personal I think because you've built up such a strong relationship with your 
  midwife through the pregnancy, you know them so much better," she 
  said.
  
  "Having a baby is such an amazing experience, why would you 
  want a stranger to come in?" Mrs Franchi, sho had her first child 
  Angelina at the Women's and Children's Hospital with a midwife, said her 
  secondchild would be born at home with an independent midwife assisting. 
  

Re: [ozmidwifery] Any ideas for research and mosiac?

[Lois Wattis]

Thanks Robin, I've emailed them directly for more info.  Regards, Lois
- Original Message -
From: Robin Moon [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 8:47 PM
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


Here you go Lois, http://www.colinheaney.com/  but half the pleasure is
picking out the hundreds of different colours he uses in the glass. It
really is the most wonderful studio to visit, (and I'm lucky enough to be
going up there again in a few weeks time)

cheers,
Robin.

- Original Message -
From: Lois Wattis [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, August 03, 2003 4:21 PM
Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


 Dear Robin, I had a look at this website and I'd like to know if it is
 possible to order these directly from Colin Heaney in Byron Bay, rather
than
 via the website which is USA based, and US$ ph etc.  Any ideas?  Regards,
 Lois

 - Original Message -
 From: Robin Moon [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Sunday, August 03, 2003 6:43 AM
 Subject: Re: [ozmidwifery] Any ideas for research and mosiac?


 Jo, what about using the goddess of fertility on your table?

 Colin Heaney in Byron Bay does a beautiful glass sculpture of her. I have
 two of these little scuptures because they're so beautiful to hold and
feel.
  http://www.yoni.com/cheaney/goddesses1.shtml.

 Also, I too think we should be digging at the issue of routine Vitamin K.
 Any research to stir the pot would be useful, as it's so entrenched in our
 hospitals. Or, if you really want to stir people up, why not research the
 current favourite policy of suggesting that ALL babies be Hep B immunised,
 and the link into disturbance of estblishing breast feeding?

 cheers,
 Robin

 - Original Message -
 From: Neretlis, Bethany [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Saturday, August 02, 2003 6:42 PM
 Subject: RE: [ozmidwifery] Any ideas for research and mosiac?


  jo, i can't think of any research ideas at the moment. however, and idea
 for
  artwork i have been meaning to do myself but as a sculpture is the
classic
  breastfeeding mother looking down on her babe, bubs hand on mothers
 breast.
 
  love  Bethany
 
  -Original Message-
  From: Lois Wattis [mailto:[EMAIL PROTECTED]
  Sent: Saturday, 2 August 2003 15:06
  To: [EMAIL PROTECTED]
  Subject: Re: [ozmidwifery] Any ideas for research and mosiac?
 
 
  Hi Jo!  (HUG!!)  Great to hear from you.
  Idea's for a Masters.. hmmm - how about something about vitamin K
  administration (especially intramuscular injection at birth), and it's
  (suspected) link to increased rates of jaundice in newborns.   Do babies
  given oral vit K have less incidence of jaundice requiring phototherapy?
 Do
  babies who are not given vitamin K at all have the same or less
incidence
 of
  jaundice?  It seems to me a high number of babies born in hospitals seem
 to
  develop jaundice which requires phototherapy.  Could the common
 denominator
  be the IM Vit. K?? causing increased viscosity of the circulating blood,
 so
  therefore increased deposition / slower elimination of unconjugated
  bilirubin?  I wonder?.
 
  Idea's for a mosaic?  What about something similarly constructed to the
 CMP
  logo - a picture of a woman and baby in the centre, with the houses and
  linked figures holding hands around the edge?  You've got me thinking
 about
  art work now!  Take care my friend, love Lois
 
 
  - Original Message -
  From: Mrs Joanne M Fisher
  To: Ozmidwifery
  Sent: Saturday, August 02, 2003 9:50 AM
  Subject: [ozmidwifery] Any ideas for research and mosiac?
 
 
  Dear List,
 
  I've just returned to Brisbane and have re-joined the list again after
  spending time in Perth doing some observations for my studies with the
  fabulous midwives of the CMP - (Hi all you lovely ladies over there).
 This
  is a wonderful list to be on and so educatonal.  I've been asked by my
 tutor
  to talk to the Grad Dip Mid students at ACU in Oct, so I'll be
  enthusiastically spreading the word of continuous midwifery care.  She
(my
  tutor) is also encouraging me to do my Masters, (not sure if I will
yet),
 so
  I was wondering if anyone out there had suggestions for me for subjects
 that
  I could do a small research on.  I've never done anything like this
before
  and know nothing about research, (I'm a hospital midwife and have only
  recently embarked on university studies).  I already have some vague
ideas
  but I'm sure there are plenty of other ideas that I haven't thought of.
  I also want to mosiac my coffee table and would love to do something
that

  symbolized birth/midwives etc, but being a hopeless artist I haven't
been
  able to think of a simple design to do.  Can anyone help???
 
  Cheers,
  Joanne (Fisher)
  --
  This mailing list is sponsored by ACE Graphics.
  Visit http://www.acegraphics.com.au to subscribe or unsubscribe.


 --
 This mailing list

Re: [ozmidwifery] Any ideas for research and mosiac?

[Lois Wattis]

Hi Jo! (HUG!!) Great to hear from you. 

Idea's for a Masters.. hmmm - how about something about 
vitamin K administration (especially intramuscular injection at birth), and it's 
(suspected) link to increased rates of jaundice in newborns. Do 
babies given oral vit K have less incidence of jaundice requiring 
phototherapy? Do babies who are not given vitamin K at all have the same 
or less incidence of jaundice? It seems to me a high number of babies born 
in hospitals seem to develop jaundice which requires phototherapy. Could 
the common denominator be the IM Vit. K?? causing increased viscosity of the 
circulating blood, so therefore increased deposition / slower 
eliminationof unconjugated bilirubin? I wonder?.

Idea's for a mosaic? What about something 
similarly constructed to the CMP logo -a picture of a woman and baby in 
the centre, with the housesand linked figures holding hands around the 
edge? You've got me thinking aboutart work now! Take care my 
friend, love Lois



  - Original Message - 
  From: 
  Mrs 
  Joanne M Fisher 
  To: Ozmidwifery 
  Sent: Saturday, August 02, 2003 9:50 
  AM
  Subject: [ozmidwifery] Any ideas for 
  research and mosiac?
  
  Dear List,
  
  I've just returned to Brisbane and have re-joined 
  the list again after spending time in Perth doing some observations for my 
  studies with the fabulous midwives of the CMP - (Hi all you lovely ladies over 
  there). This is a wonderful list to be on and so educatonal. I've 
  been asked by my tutor to talk to the Grad Dip Mid students at ACU in Oct, so 
  I'll be enthusiastically spreading the word of continuous midwifery 
  care. She (my tutor) is also encouraging me to do my Masters, (not sure 
  if I will yet),so I was wondering if anyone out there had suggestions 
  for me for subjects that I could do a small research on. I've never done 
  anything like this before and know nothing about research, (I'm a hospital 
  midwife and have only recently embarked on university studies). I 
  already have some vague ideas butI'm sure there areplenty of other 
  ideas that I haven't thought of. 
  I also want to mosiac my coffee table and would 
  love to do something that symbolized birth/midwives etc, but being a hopeless 
  artist I haven't been able to think of a simple design to do. Can anyone 
  help???
  
  Cheers, 
  Joanne 
(Fisher)

Re: [ozmidwifery] woman power

[Lois Wattis]

How fantastic! Well done Trudie. Kind 
regards, Lois

  - Original Message - 
  From: 
  Trudie de 
  keijzer 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, July 30, 2003 6:48 
  PM
  Subject: [ozmidwifery] woman power
  Dear allI wish to share this amazing birth story, which 
  once again confirms my faith in women, esp.after a recent spate of 3 Post 
  partum haemorrhages. A woman (primip) who came to see me 2 months ago, 
  wanting a homebirth, because the doctor at the hospital wanted to induce her 
  at 32 weeks for growth retardation!!! progressed through a very normal healthy 
  pregnancy giving birth vaginally with an intact perineum to a strong and 
  healthy 3.3 kg baby at 41 weeks, she is indeed very proud of herself and is 
  feeling enormously empowered. Her mother who accidentally attended the birth 
  (another story) recognised my voice and name as being her midwife at the Crown 
  street Birth centre 22 years ago. How amazing to now be catching 
  grandchildren!!!Trudie 
  de Keijzerphone 02 47572337mobile 0438 
  572337http://www.homebirthservices.com.au52a Fletcher street 
  Wentworth FallsNSW 
2782Australia

Re: [ozmidwifery] National Register of ALL IndependentChildbirthEducators (NICE)

[Lois Wattis]

Judy, I posted my card to you yesterday! Kind 
regards, Lois (from WA).

  - Original Message - 
  From: 
  Judy 
  Chapman 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, July 17, 2003 7:32 
  AM
  Subject: Re: [ozmidwifery] National 
  Register of ALL Independent ChildbirthEducators (NICE)
  
  
  
  She certainly would if she got any answers. Have1 promise so far. 

  Judy
  
  
  
  om: "Child Birth Information Service" <[EMAIL PROTECTED]>
  Reply-To: [EMAIL PROTECTED] 

  To: <[EMAIL PROTECTED]>
  Subject: Re: [ozmidwifery] National Register of ALL Independent 
  ChildbirthEducators (NICE) 
  Date: Wed, 16 Jul 2003 08:59:41 +1000 
  
  Re: [ozmidwifery] National Register of ALL Independent Childbirth 
  Educators (NICE)Hi julie, 
  I came across someone on the chat line who had requested business 
  cards be sent to her as part of her course of studies. I thought to my self 
  that she should have a nice list of midwives because of this. 
  Her name is Judy Chapman 
  P.O Box 1524 
  Mareeba QLD 4880 
  Maybe you might be interested 
  Terry Stockdale 
  - Original Message - 
  From: Julie Clarke 
  To: [EMAIL PROTECTED] 
  Sent: Tuesday, July 15, 2003 4:27 PM 
  Subject: RE: [ozmidwifery] National Register of ALL Independent 
  ChildbirthEducators (NICE) 
  
  
  Fabulous Jan - and yes I am financial J 
  
  I will send you (direct) the current list and will forward regular 
  updates. 
  
  I can't add attachments to the ozmid list so anyone else who would 
  also like the NICE list please let me know and I'll develop a list a regular 
  mailing list of you J Goodness lucky I'm a "list" person!!! 
  
  Hug 
  
  Julie 
  
  
  
  
  
  Julie Clarke 
  
  [EMAIL PROTECTED] 
  
  Childbirth and Parenting Educator 
  
  Transition into Parenthood 
  
  9 Withybrook Pl 
  
  Sylvania NSW 2224. 
  
  T. (02) 9544 6441 
  
  Mobile 0401 2655 30 
  
  
  
  -Original Message- 
  From: [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Jan Robinson 
  Sent: Tuesday, 15 July 2003 3:13 PM 
  To: [EMAIL PROTECTED] 
  Subject: Re: [ozmidwifery] National Register of ALL Independent 
  ChildbirthEducators (NICE) 
  
  
  
  Hi Julie 
  When you get the list together you are welcome to include it in the 
  ASIM Members Directory (as you belong to ASIM - hope you are financial) It 
  would make a nice accompaniment to the document and we are hoping to get it up 
  on the www soon so more people will be able to access it. 
  Jan 
  
  On 14/7/03 2:27 PM, "Julie Clarke" <[EMAIL PROTECTED]>wrote: 
  
  Hi everyone 
  
  Every now and then, I will be asked to refer someone to another 
  Independent Educator somewhere in Australia and I am often unable to help 
  simply because there does not seem to be a register of Independent Educators 
  anywhere. 
  
  So I thought let's do it - let's pull the information together so 
  that anytime I am asked I can readily refer. 
  
  I am currently working on developing a list of all Independent 
  Childbirth Educators in Australia and might look at getting it printed 
  professionally J to make available for distribution. 
  
  If you are an independent childbirth educator who would like to be 
  added to the list then please send your details to me for inclusion. 
  
  (On the other hand, if you know someone who would like to be on the 
  list then please forward this email to them). 
  
  
  
  Name: 
  
  Address: 
  
  Telephone: 
  
  Facsimile: 
  
  Mobile: 
  
  Email: 
  
  Details of Independent Childbirth Education Classes offered: 
  
  The region of area you would describe as your catchment area and 
  the hospitals in that catchment. 
  
  
  
  I hope you can all help me - Of course I will let you know when 
  it's complete and make it available to you. 
  
  I will call this list: NICE 2003 - National Independent Childbirth 
  Educators 2003. 
  
  How funky is that, eh? 
  
  
  
  hug 
  
  Julie Clarke 
  
  Childbirth and Parenting Educator 
  
  Transition into Parenthood 
  
  9 Withybrook Pl 
  
  Sylvania NSW 2224. 
  
  T. (02) 9544 6441 
  
  Fax: (02) 9544 9257 
  
  Mobile 0401 2655 30 
  
  Catchment: St George and Sutherland Shire Region in the South 
  Eastern Sydney. 
  
  
  
  
  
  Hotmail now available on Australian mobile phones. Click here for more. -- This 
  mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.

Re: [ozmidwifery] Unusual gift

[Lois Wattis]

Katy, thanks for sharing this. A big pat on the 
back to you and all your colleagues who must be doing a wonderful job. I 
got the biggest goosepimples when I read his words. Isn't it just so 
fulfilling to be appreciated? Best wishes, Lois Wattis


  - Original Message - 
  From: 
  Katy O'Neill 
  
  To: ozmidwifery 
  Sent: Monday, July 14, 2003 2:43 PM
  Subject: [ozmidwifery] Unusual gift
  
  I work in a hospital system with all the 
  limitations it imposes and so when a father presented us with a gift it real 
  surprised me. The gift was a lovely silver frame with a plaque on 
  it inscribed with their babies birth date etc plus the following... " In 
  heaven they have angels 

  
   Here on earth we have midwives."
  
  On the accompanying card he wrote :- To all 
  new Mums,

  
  
  Be 
  brave'
  Trust 
  in your midwife.
  

  
  
  To 
  all new Dads,
   
  Be gentle,

  
  
  Be 
  amazed,

  
  
  
  But above all, wonder at the real superior sex.
  
  It would be lovely if we could always earn 
  this. 
Katy.

Re: [ozmidwifery] vaginal wall tearing

[Lois Wattis]

Isis, Where are you? Can you 
accessmidwifery care? You need support, encouragement and a big 
hug!What you have experienced would shakethe most committed 
natural birth advocate. Don't despair just yet. Let's see if someone 
withinthe ozmid network canassist... Love 
Lois


  - Original Message - 
  From: 
  Isis and 
  Andrew Caple 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, July 16, 2003 7:56 
  AM
  Subject: RE: [ozmidwifery] vaginal wall 
  tearing
  
  
  I apologize in 
  advance for rehashing an old topic of discussion, but I need to get this off 
  my chest.
  
  I had a 36 week ANC 
  appointment with one of the hospital OB’s yesterday and I 
  left the appointment shaking with anger. I also left questioning my own wishes 
  and plans. I was asked if I realized the risks of a VB due to my tear. I 
  answered to the affirmative. I was asked if I truly appreciated the ‘great’ 
  possibilities of incontinence if I had a VB. I answered yes, but didn’t engage 
  in a debate over the actual research done and what may cause the 
  incontinence.. I was then asked how I felt in the event of a successful VB, 
  with no tear, still meaning that 10-20-30-40 years down the track I would most 
  likely still need a colostomy bag due to the damage to the perineal 
  nerves/muscles- all linking back to my ‘ungiving’ scar tissue and my adamant 
  wish to have a VB. How does he expect me to feel, with this doom and gloom 
  prediction being spouted in an extremely patronizing tone of voice? He 
  went on and on for about 6-7 minutes about how I must realize the risks that 
  my choices could entail. I felt my face getting hot, I felt sweat beading on 
  my upper lip, I started shaking. The only part of my wishes that he actually 
  ‘approved’ was the possibility of an episiotomy.. Then he started on my 
  wish for a physiological 3rd stage- again predicting doom and 
  gloom. His exact wording was ‘Sure it is great to have a natural delivery of 
  the placenta, but you can also die naturally from massive blood loss. Did you 
  know that a PPH can mean that blood is running with the speed of a household 
  tap and before you know it you have lost 3000cc of blood?’ I just nodded 
  dumbly in shock and disbelief..
  
  Today I doubt myself, 
  my abilities, my wishes, my knowledge, my body. I feel physically sick, 
  thinking of all the women who go to see a doctor and end up being scared into 
  submission. No wonder the rates of intervention are so high, no wonder the 
  concept of a normal, natural birth doesn’t actually mean what it sounds like.. 
  
  
  I am scared of this 
  birth, I am wavering in my resolve to not have a c-section just in case. I 
  feel empty.
  
  -Original 
  Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Lois WattisSent: Friday, 6 June 
  2003 10:15 
  AMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] vaginal wall 
  tearing
  
  
  Dear Isis - I 
  am impressed with your response to Jo, and the way you have worked through 
  your own experiences. Congratulations. You display courage and 
  wisdom in your choice to birth (again)as naturally as possible. 
  Iapplaud and endorse the advice given by the private OB. Being 
  upright through labour and especially the use of water immersion which assists 
  the process of softening and stretchingthe perineum, and 'feeling' your 
  own progress in the expulsive stage. Most importantly, allowing the 
  time for the crowning and birth of the baby's headand body to be 
  SLOW, and not forced in any way - YOU WILL PROBABLY NOT NEED AN 
  EPISIOTOMY!!Manybirth practitioners (midwives 
  AND ob's) get very anxious when the birth is slow, and feel compelled to 
  intervene, especially if the birth is in water.Birth in water is gentle 
  on baby and on you...Be guided by your instincts. Best wishes, and let 
  us know how it goes. Kind regards, Lois
  
  
  

- Original Message - 


From: Isis and 
Andrew Caple 

To: [EMAIL PROTECTED] 


Sent: 
Wednesday, June 04, 2003 6:19 AM

Subject: RE: 
[ozmidwifery] vaginal wall tearing


Hi 
Jo,

I tore 
to the 4th degree with my daughters birth. A mix of factors 
caused it- very fast labour, compound hand and forced pushing while on my 
back with my legs braced on midwives hips.. My poor perineum didn’t stand a 
chance.. Unlike your lady, I have had no problems healing, with incontinence 
or sexual dysfunction.

This 
birth I have been advised by hospital OB’s to have a c-section. Any midwife 
I speak to disagrees with that recommendation. A private OB agreed that a VB 
was indeed possible, but to keep upright, active during first stage. During 
second stage, no forced pushing as such. Follow my urges and to 
breathe/grunt with the uncontrollable urges. An episiotomy may be advisable 
while babe’s head is crowning 

Re: [ozmidwifery] Sun baths

[Lois Wattis]

Hi again - interesting to get info related to the 
northern hemisphere.. (thanks Debbie and Marilyn), compared to 
Australia.

Irevisited my text books before posting 
my bit on ozmid about natural light for treating physiological jaundice - just 
to check my facts. The use of natural light this way ismentioned in 
PGB. Johnston's book "The Newborn Child" (my text from my mid studies) pp181,and 
187. Johnson states "exposing the baby's skin to sunlight effectively 
reduces the bilirubin level but is impractical for treatment in the 
UK."

Regarding the specific lighting requirement - "exposing 
the skin to blue light of wavelength 400-500 nmand in an intensity of 4-10 
microwatts/cm2 converts the bilirubin in the superficialcapillaries to 
harmless water soluble metabolites which are then excreted in the urine and 
bowel". I don't know how to quantify/measure the nm's of natural daylight 
in various states or seasons in Australia, however I don'tthink it's 
necessary. The value of exposure to INDIRECT'white' daylight in a 
well lit room toconvert unconjugatedbilirubin into conjugated water 
soluble bilirubin for excretion is well documented. Exposure of the head 
and shoulders, maybe chest in atemperature-controlled environmentis 
usually sufficient to stimulate the process, in combination with frequent 
feeding. 

Home and hospital rooms vary in how much light they 
get, but often it's only a matter of rearranging where the baby is located in 
the room which makes the difference. I'm sure there are hospital midwives 
out there who encourage women to put their baby's cot on the opposite side of 
the bed just to take advantage of the natural light in the room to minimise or 
treat physiological jaundice the natural way, just as I did when I worked in the 
hospitals. Attention to this type 
ofearlytreatmentwill savemany babies fromthe heel 
pricks forSBR collections ('just to check'), and possibly from separation 
and Mothers' associated anxiety, interuptions to feedings and so onrelated 
toartificial phototherapy. Just my two bob's 
worth! Cheers, Lois
- Original Message - 

  From: 
  Debbie 
  Slater 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, July 12, 2003 2:37 
  PM
  Subject: [ozmidwifery] Sun baths
  
  Lois wrote:Hi Tina, my understanding is that 
  normal bright 'white' daylight in a well lit room is adequate to facilitate 
  the conversion of bilirubin in it's fat soluble form stored in the tissue, to 
  the water soluble form, which is then returned to the bloodstreamfor 
  processing through the GI system for excretion.I was always told 
  just to put babies in a well-lit room (and this was in the lukewarm sunlight 
  of the northern hemisphere - London to be exact).This is just from a 
  mother's perspective.Debbie 
Slater

Fw: [ozmidwifery] Sun baths

[Lois Wattis]

- Original Message - 
From: Lois Wattis 

To: [EMAIL PROTECTED] 

Sent: Saturday, July 12, 2003 12:56 PM
Subject: Re: [ozmidwifery] Sun baths

Hi again - interesting to get info related to the 
northern hemisphere.. (thanks Debbie and Marilyn), compared to 
Australia.

Irevisited my text books before posting 
my bit on ozmid about natural light for treating physiological jaundice - just 
to check my facts. The use of natural light this way ismentioned in 
PGB. Johnston's book "The Newborn Child" (my text from my mid studies) pp181,and 
187. Johnson states "exposing the baby's skin to sunlight effectively 
reduces the bilirubin level but is impractical for treatment in the 
UK."

Regarding the specific lighting requirement - "exposing 
the skin to blue light of wavelength 400-500 nmand in an intensity of 4-10 
microwatts/cm2 converts the bilirubin in the superficialcapillaries to 
harmless water soluble metabolites which are then excreted in the urine and 
bowel". I don't know how to quantify/measure the nm's of natural daylight 
in various states or seasons in Australia, however I don'tthink it's 
necessary. The value of exposure to INDIRECT'white' daylight in a 
well lit room toconvert unconjugatedbilirubin into conjugated water 
soluble bilirubin for excretion is well documented. Exposure of the head 
and shoulders, maybe chest in atemperature-controlled environmentis 
usually sufficient to stimulate the process, in combination with frequent 
feeding. 

Home and hospital rooms vary in how much light they 
get, but often it's only a matter of rearranging where the baby is located in 
the room which makes the difference. I'm sure there are hospital midwives 
out there who encourage women to put their baby's cot on the opposite side of 
the bed just to take advantage of the natural light in the room to minimise or 
treat physiological jaundice the natural way, just as I did when I worked in the 
hospitals. Attention to this type 
ofearlytreatmentwill savemany babies fromthe heel 
pricks forSBR collections ('just to check'), and possibly from separation 
and Mothers' associated anxiety, interuptions to feedings and so onrelated 
toartificial phototherapy. Just my two bob's 
worth! Cheers, Lois
- Original Message - 

  From: 
  Debbie 
  Slater 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, July 12, 2003 2:37 
  PM
  Subject: [ozmidwifery] Sun baths
  
  Lois wrote:Hi Tina, my understanding is that 
  normal bright 'white' daylight in a well lit room is adequate to facilitate 
  the conversion of bilirubin in it's fat soluble form stored in the tissue, to 
  the water soluble form, which is then returned to the bloodstreamfor 
  processing through the GI system for excretion.I was always told 
  just to put babies in a well-lit room (and this was in the lukewarm sunlight 
  of the northern hemisphere - London to be exact).This is just from a 
  mother's perspective.Debbie 
Slater

Re: [ozmidwifery] sun baths for jundice

[Lois Wattis]

Hi Tina, my understanding is that normal bright 'white' 
daylight in a well lit room is adequate to facilitate the conversion of 
bilirubin in it's fat soluble form stored in the tissue, to the water soluble 
form, which is then returned to the bloodstreamfor processing through the 
GI system for excretion.

I encourage all parents toassist the processing 
of physiological jaundice in the early days of their baby's life by having the 
baby in the best lit room during daylight hours. I advise them to follow 
the best natural light in the house as the day passes,maximising 
thebaby's exposureto indirect natural (white) 
daylightparticularly if the baby is visibly jaundiced. Of course, 
the other important signs are monitored closely too - feeding well and 
frequently, wee-ing (noting colour of urine), poo-ing, not too sleepy etc. 
I find early attention to assisting the natural physiological process utilising 
natural light minimises the incidence and severity of physiological jaundice in 
most cases. I do not recommend 'sun bathing' in direct sunlight indoors or 
outdoors, especially here in WA where even winter direct sun through glass can 
be very hot.Regards, 
Lois

  - Original Message - From: M  T Holroyd 
  To: [EMAIL PROTECTED] 
  ; [EMAIL PROTECTED] 
  
  Sent: Friday, July 11, 2003 5:51 PM
  Subject: [ozmidwifery] sun baths for 
  jundice
  
  Hi, just aquick question after Marilyn talked of 
  sun baths for jaundice (below). What is the latest info on this? 
  When I had my daughter in Townsville 9+ years ago I was told when she 
  developed jaundice to sun her religously in am  pm for a few days between 
  SBR's. I was told this again when my second child was born (7 years 
  ago), but this time in sunlight filtered by window. Then when he 
  was8 months old I started my midwifery education (in Townsville)  
  we were taught that it was no longer safe  we were not to advise parents 
  to do this (due to high skin cancer rates in N.Q). What is common 
  practice regarding this. I have come across midwives still recommeding 
  to sun. 
  
  Tina H. Brisbane
  
- Original Message - 
From: 
Marilyn 
Kleidon 
To: [EMAIL PROTECTED] 

Sent: Saturday, July 12, 2003 1:00 
AM
Subject: Re: [ozmidwifery] whats 
happening ?

Hi Lynne: yes it is weird how transfers can 
cluster sometimes. Exhausting. Regarding the Mg SO4 and BP, one young 
woman I worked with in Seattle developed high BP after we made the hospital 
transfer(we transferred for maternal exhaustion, she had been labouring hard 
for 2 days and was still 3cm, BP had been stable at home, no other sx except 
that she had had heartburn/reflux throughout the pregnancy and i have 
wondered since if this masked any epigastric pain) anyway BP went from 
120/70 at home to 138/88 on arrival at hospital, to 144/90 to finally 
160/100, this was after the epidural but while we were awaiting the stat 
liver function tests which the ob ordered "just in case" actually 
apologising for ordering them as we all thought the elevated BP wasdue to 
the stress of the transfer.She had HELLP syndrome, so Mg SO4 and much 
careful monitoring, she went to complete in 2hrs and pushed her baby out in 
between vomitting from the Mg SO4. There was thick to mod mec liquor too, 
baby was 8lb and vigorous at birth. She stayed in hospital 3 days on meds 
until her bloods were normal and BP stable, baby very jaundiced really 
should have had phototherapy but parents declined and went home. Mum also 
somewhat jaundiced (I guess the hemolysis). Baby was under paediatric care, 
lost 10% in first week, milk took a good 7 days to really come in once 
it did baby made a slow but steady weight gain. WE, the midwives were 
somewhat anxious, but paed was ok with it doing homevisits and sun baths for 
baby (trust me the UV index in Seattle is not to be worried about). Long 
story, sorry. So yes the milk did come in just later.

marilyn

  - Original Message - 
  From: 
  Lynne Staff 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, July 10, 2003 2:14 
  PM
  Subject: Re: [ozmidwifery] whats 
  happening ?
  
  Hi Jan
  Must be something in the water - I had3 
  t/f to hosp as well in the past 2 months. One - a primigravida - C/B 
  after BP shot through the roof antenatally and SROM at 37 weeks. She did 
  labour, but for whatever reason, her body did not open, and her BP 
  sneaking up higher and higher despite Mg So4 and hydrallazine. Home now 
  but lactation did not establish and she has tried everything. Is anyone 
  aware of MgSo4 or hydrallazine having an impact on lactation?
  
  Another had the most amazing labour - had 
  been labouring for quite some time before she called (as she and partner 
  had been happy working 

Re: [ozmidwifery] Fw: We had a boy

[Lois Wattis]

Heartiest Congratulations, and thanks for sharing with 
us. Love Lois

  - Original Message - 
  From: 
  M  T Holroyd 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, July 06, 2003 5:46 PM
  Subject: [ozmidwifery] Fw: We had a 
  boy
  
  
  - Original Message - 
  From: M  T Holroyd 
  To: ozmidwifery 
  Sent: Sunday, July 06, 2003 7:33 PM
  Subject: We had a boy
  
  Hi, 
  
  I Just wanted to let you know how the birth of my 
  fourth baby went.We had a beautiful big boy at the Birth Centre here in 
  Brisbane. It was a wonderful experience that I still tell people about 
  even now4 months later (just leave out some of the more personal 
  details). When I first rang my midwifeI told her I had been having 
  irregilar contractions since5pmbut now regular (approx 9.30pm) at 
  3min appart that I was coping well at home, but with my history of 
  fast labours she said I had better come in (I think she could hear something 
  in my voice  Marty said he knew it was time to go anyway - I on the other 
  hand was in my own world). We woke the kids  packed them into the 
  car  off we went. On the way to the hospital my contractions got 
  closer  in between contractions my almost 9yo daughter (Emilie) dozed, 
   my 6.5yo (Jeremy) 3.5yo (Ethan)talked to me about what 
  was happening. Jeremy asked me if the baby was going to come out of my 
  belly (he knew where a baby comes from but my sister had recently had a 
  c/section)  Ethan piped up "babies come out of a mummy's vagina don't you 
  know Jeremy"... this set me off laughing  along came another 
  contraction. Soon after another contraction (I would bang my head on the 
  head rest for distraction) Jeremy said to me "Mummy how about you take big 
  breaths in  out with your next pain to help" so I made an effort  he 
  breathed along with me for the rest of the trip he was a real 
  help. I arrived at the BC with my husband, 3 children, mother 
   two sisters in tow at10pm. My Midwife had the tub full 
  because she new I wanted a water birth,  she had beautiful music 
  playing. I got into the tub soon after arrival (it was like sinking into 
  heaven - what wonderful pain relief), Marty sat on the edge of the tub to 
  support me  my three children hopped in and paddled around me rubbing my 
  back with a contraction. Our midwife was wonderful  encouraged 
  welcomed my children... they felt so comfortable being there  
  we were all very excited. After a few contractions I asked the kids to 
  get out (I was feeling that I needed to focus  have my own space at this 
  time... maybe going through transition?). Not long after I started to 
  push, push  push  even though the urge was as strong as it had ever 
  been I didn't feel like I was moving my baby much at all (I'd never worked 
  this hard at pushing before)  I had bad lowerbackhip pain 
  with each contration (which was also new to me). Anyway, a short time 
  later his head emerged but I was still pushing with all my might  it felt 
  to me like he just wasn't going any further so when I heard our midwife tell 
  Marty to get me up "now" I knew there was a good reason  was already on 
  my way up  she had to give him a little tug because his shoulders were 
  tight, he was born at 10.51pm on Sat 15th March (11 days before Emilie's 
  birthday). I had minimal blood loss  aphysiological third 
  stage on the birth stool. Emilie cut the cord prior to third stage being 
  complete but after it had stopped pulsating(she normally hates the sight 
  of blood or even hearing the word but to be involved  cut the cord didn't 
  bother her). I offered him a feed whilst waiting for placenta but he was 
  to busy letting the world know that he was here. He weighed 4540 grams 
  (10lb)  was my biggest baby by almost 500 grams. I had not even a 
  graze  didn't even feel like I had had a baby (was that the mostly water 
  birth?). He breastfed well  he is still thriving. Our midwife 
  showed Emilie  I my placenta  Emilie was very interested... midwife 
  explained it all to her. Emilie made the comment "it looks yucky mummy 
  but I know it is very important  it's also good to know for when I go to 
  Aunty Leasa's (my sister who was present) next birth (she is inviting herself 
   baby is not even planned yet)".
  
  This was my first BC baby, my first waterbirth, 
  my first birth without VE,my first birth without any form of drugs (1st 
  baby gas  peth, 2nd  3rd gas only), my first birth in a squating 
  position/upright (all others were semi-sitting),my first physiological 
  third stage, first birth where the midwife truly trusted me  my 
  ability. Also the first time any of my children attended a birth. 
  All of my births were amazing  beautiful, but this was that little bit 
  more special because I truly got what I wanted  I new exactly what I 
  wanted before hand. Also there is alot to be said (as you all know) for 
  knowing your midwife.. then you can trust each other.
 

Re: [ozmidwifery] my little contribution...

[Lois Wattis]

Title: Re: [ozmidwifery] my little contribution...



Woo H!!
Enjoy, Tania. I'm sure you deserve the 
break! Cheers, Lois


  - Original Message - 
  From: 
  Tom, Tania and Sam 
  Smallwood 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, July 04, 2003 6:32 PM
  Subject: Re: [ozmidwifery] my little 
  contribution...
  
  Well this will blow you all away (it blew me away!!) 
  .. I was chosen as the caller of the week and won a trip for 2 
  adults and 2 kids to the Gold Coast!! All that for talking for a minute 
  on the radio about breastfeeding!! WOW 
  
  Tania
  
- Original Message - 
From: 
Jan 
Robinson 
To: [EMAIL PROTECTED] 

Sent: Thursday, July 03, 2003 8:27 
AM
Subject: Re: [ozmidwifery] my little 
contribution...
Fantastic TaniaCan I pass this news on 
to my ABA colleagues back here in Sydney?Jan RobinsonOn 
2/7/03 10:09 PM, "barbara glare  chris bright" [EMAIL PROTECTED] 
wrote:
Fabulous work, Tania. Good 
  on you.Love, BarbBarb 
  GlareMum of Zac, 10, Daniel 8 and Cassie, 5ABA Poster and Calendar 
  orders [EMAIL PROTECTED]- 
  Original Message - 
  From: Lois Wattis 
mailto:[EMAIL PROTECTED] To: 
[EMAIL PROTECTED] Sent: Wednesday, July 02, 2003 
9:23 PMSubject: Re: [ozmidwifery] my little 
contribution...Congratulations Tania - well 
done. Love Lois- Original Message - 
From: Tom, Tania and Sam 
  Smallwood mailto:[EMAIL PROTECTED] To: 
  [EMAIL PROTECTED] Sent: Wednesday, July 02, 
  2003 2:22 PMSubject: [ozmidwifery] my little 
  contribution...Just had to share, I got my 2 
  cents worth in on Adelaide radio today - they had a segment called can 
  of worms, and the topic was about when to stop breastfeeding. 
  You can imagine some of the ill informed and downright brainless 
  caller responses they had (mostly blokes). So I rang up and let 
  them know about the benefits of long term breastfeeding, for babies 
  and Mum's too, and commented on our sick society and our inability to 
  see that the most natural healthy thing is not rude or 'off'. I 
  got on the air, and I think they were so dumfounded they had found 
  someone who actually breastfed for a lengthy period of time, they just 
  let me talk! And to top it off, I won a prize for best caller! 
  WOW!!!Cheers Tania

Re: [ozmidwifery] my little contribution...

[Lois Wattis]

Congratulations Tania - well done. Love 
Lois

  - Original Message - 
  From: 
  Tom, Tania and Sam 
  Smallwood 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, July 02, 2003 2:22 
  PM
  Subject: [ozmidwifery] my little 
  contribution...
  
  Just had to share, I got my 2 cents worth in on Adelaide 
  radio today - they had a segment called can of worms, and the topic was about 
  when to stop breastfeeding. You can imagine some of the ill informed and 
  downright brainless caller responses they had (mostly blokes). So I rang 
  up and let them know about the benefits of long term breastfeeding, for babies 
  and Mum's too, and commented on our sick society and our inability to see that 
  the most natural healthy thing is not rude or 'off'. I got on the air, 
  and I think they were so dumfounded they had found someone who actually 
  breastfed for a lengthy period of time, they just let me talk! And to 
  top it off, I won a prize for best caller! WOW!!!
  
  Cheers 
  
  Tania

Re: [ozmidwifery] Cord Blood Storage

[Lois Wattis]

Hi Anne and Jo - yes, this 
information sounds correct from what I have heard of the process. ACMI 
sentinformation out with their regular publication some months ago to all 
members.

I was speaking to 
acolleague recently who has decided to start working forthis 
group. During our discussion Iraised therequirement for 
immediate cord clamping in order to collect the 45mls of cord blood, and the 
impact of this deficit of placental transfusion to the baby at birth. This 
is not regarded as 'important' by the proponents of the storage of cord 
blood for the (remotely) possible future need 
of the baby/child/adult.

I personally subscribe to 
the benefits of DELAYED cord clamping and full placental transfusion at 
birth but that won't surprise anyone who has read my articles on "The Third 
Stage Maze". I guess what I'm saying is, likeANY decision parents 
are making on behalf of their baby or child, FULLdetailsmust be 
providedfor an INFORMED CHOICE to be made. Kind regards, 
Lois


  - Original Message - 
  From: 
  JoFromOz 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, June 30, 2003 10:49 
PM
  Subject: Re: [ozmidwifery] Cord Blood 
  Storage
  
  Hi Anne.
  
  The company is Cryocite/Cryosite (can't remember which) in our 
  hospital.
  
  We had an inservice on it a few months ago... from memory it's about 
  $2000 upfront (0r payoff) then $150 per year until the child is 18 for 
  storage. After that, the child can take over storage payments if they 
  want to. I can't quite remember the exact cost of the upfront payment... 
  $1500 is coming to me now... but I'm not 100% sure, sorry.
  
  I can find out more info for you if you want me to. I guess it 
  would be the same people who do it over there as here, as all the blood gets 
  stored in Sydney.
  
  HTH
  
  Jo
  
  
- Original Message - 
From: 
Anne smith 
To: [EMAIL PROTECTED] 

Sent: Monday, June 30, 2003 10:16 
AM
Subject: [ozmidwifery] Cord Blood 
Storage


  

  I have a client living in North-west Victoria who is keen to keep 
  and store her baby's cord blood for use at a later date if 
  required. Has anyone had any experience of this and can you give 
  me a contact?
  
  Thanks
  
  Anne
  

  


  
  
   IncrediMail - Email has finally evolved - 
Click 
Here 

image/gif

Re: [ozmidwifery] FW: midwives are the ideal for mothers

[Lois Wattis]

Well done Julie - KEEP THE PRESSURE ON! Cheers, 
Lois

  - Original Message - 
  From: 
  Julie 
  Clarke 
  To: Ozmidwifery Mailing List 
  
  Sent: Tuesday, June 24, 2003 1:23 
PM
  Subject: [ozmidwifery] FW: midwives are 
  the ideal for mothers
  
  
  Hi 
  everyone
  Yesterday I tried to 
  get through on 2GB talk back radio but no luck – 
  Police Minister was their priority.
  Yesterday afternoon I 
  tried to talk on ABC Radio National at 2.30pm but was in the queue 
  ‘till the news and no time left but Pat Brodie was excellent – 
  
  Below is my letter to 
  the Herald today - this is 
  all so quick and easy to do – and so very worthwhile – if it appears to be a 
  hot topic in the community then midwives will be given more air time, more 
  publicity and more success J in their role to 
  help women birthing normally.
  C’mon let’s keep stirring the 
  cauldron…
  hug
  
  
  Julie 
  Clarke
  Childbirth 
  and Parenting Educator
  Transition 
  into Parenthood
  9 
  Withybrook Pl
  Sylvania 
  NSW 2224.
  T. 
  (02) 9544 6441
  Mobile 
  0401 2655 30
  
  -Original 
  Message-From: Julie 
  Clarke [mailto:[EMAIL PROTECTED] Sent: Tuesday, 
  24 June 2003 
  2:20 
  PMTo: 
  '[EMAIL PROTECTED]'Subject: midwives are the ideal for 
  mothers
  
  Congratulations to the mothers to 
  be in the South who are now able to birth locally rather than be driven out of 
  their area to attend a larger hospital.
  Minimising stress and discomfort 
  for these women should be a priority of the community, supporting them in 
  their wishes to be cared for close to home, close to family, friends and loved 
  ones is very important. To 
  increase their anxieties, stresses and concerns during this time in their 
  lives will lead on to greater risk of mental 
  health.
  They should be able to remain 
  where they feel safe and well cared for; in the care of midwives who are fully 
  trained and the qualified carers for women during the normal process of 
  birth.
  
  Julie 
  Clarke
  Childbirth 
  and Parenting Educator
  Transition 
  into Parenthood
  9 
  Withybrook Pl
  Sylvania 
  NSW 2224.
  T. 
  (02) 9544 6441
  Mobile 
  0401 2655 30
  

Re: [ozmidwifery] an advertising opportunity? Queenslanders

[Lois Wattis]

W.A. too?? Regards, Lois

  - Original Message - 
  From: 
  Pinky McKay 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, June 25, 2003 9:28 
  AM
  Subject: [ozmidwifery] an advertising 
  opportunity? Queenslanders
  
  
  
  
  I have just received this from Elizabeth -any Qlanders who may have 
  announcements etc all ready to do -they have some free listings as well -this 
  paper is distributed free through Health Food stores, natural therapists
  Pinky
  Hello
  Please pardon this quick note, the second in the month. However, there is a 
  good opportunity at the end of it for those in the health arena and interested 
  in promotion in Brisbane.
  We’re printing 5,000 extra copies of Living NOW! July to go in show bags to 
  be given away at the door of the upcoming AMA (Australian Medical Association) 
  Expo (25-27 July). This means that as well as your usual readership, the 
  magazine will be in the hands of many people who would not normally pick it 
  up. Last year’s AMA expo was their first, and everyone wondered how the 
  holistic health faction would fare, but the organisers are pleased to report 
  that all relevant standholders are returning this year, some with bigger 
  stands. In other words, there was a good interest in the alternative side of 
  things, which is important for us of course. Check them out at www.amaq.com.au
  If you’d like to take advantage of this extra exposure we can give an 
  extension of deadline until noon tomorrow (Thursday, 26th June). 
  We’ll still honour the 25% discount we’ve been giving Queensland-only 
  advertisers on account of its smaller circulation (compared with NSW and VIC), 
  but we’re pleased to say that this extra 5,000 copies will take this July 
  issue to 35,000.
  Email your ad/s to [EMAIL PROTECTED] or simply respond 
  to this email or phone 1800 803 714.
  Warm wishes
  Elizabeth Stephens
  Editor

Re: [ozmidwifery] melbourne

[Lois Wattis]

Hi Tracy! We met in Noosa at the Birth Issues 
Conference - remember?
Glad to hear your Core of Life program is going so 
well. Yes, the issues are the same in WA, and it would be WONDERFUL 
to have it running here somewhere (everywhere!). The consumer support 
group for my local area, the Peel Region, called Pregnancy Resources  
Midwifery Support Group (PRMS) have raised their concerns about the 
prevalence of teenage pregnancies. We/theyhave started a general 
education program covering Labour  Birth, Spiritual birth  alternate 
therapies, breastfeeding, newborn care, and caesarean birth  VBAC in 
separate sessions. It's already a fairly big program for a small group, 
but getting good 'reviews', and numbers growing steadily. (Have a look at 
my website www.birthjourney.com and 
select the PRMS page to find out more). I'm sure "Core of Life" would 
be an ideal program to address the teenage issues also. Could you send me 
an info pack, particularly your requirements/advice about time required for 
presenters to prepare etc.so I can pass it onfor consideration by 
PRMS. We mayneed to apply for a grant to pay for the program, 
depending on the cost?
Say hello to Sally W. if you see her in her 
travels. Best wishes, Lois


  - Original Message - 
  From: 
  mark day 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, June 20, 2003 10:06 
AM
  Subject: Re: [ozmidwifery] 
melbourne
  
  Hi Tina, We are midwives working on the 
  Mornington Peninsula in Melbourne and we have just seen this email. We have 
  designed a program which is now spreading statewide which educates adolescents 
  aboutthe realities ofPregnancy Birth and Early Parenting its called the 
  Core of Life. We have also started to have contacts from other states. 
  If possible it would be great to catch up for a chat to see if the 
  issues are the same in WA and if you think there might be a place for this 
  form of education there.
  Look forward to hearing
  Tracy Smith
  
  
- Original Message - 
From: 
[EMAIL PROTECTED] 
To: [EMAIL PROTECTED] 

Sent: Monday, June 16, 2003 10:00 
PM
Subject: Re: [ozmidwifery] 
melbourne
In a message dated 13/06/03 8:35:44 PM AUS Eastern 
Standard Time, [EMAIL PROTECTED] 
writes:
Hi Folks,I'm going to be in melbourne for the next 3 
  weeks. If anyone would like tohave a yarn about midwifery stuff with 
  me while i'm over ease let me know.Any study/conference/networking 
  opportunities over east please also alert meto.Love Sally 
  WestburyHomebirth MidwifeCommunity Midwifery ProgramWestern 
  AustraliaHi Sally,would love to carch 
up when your here,let me know if your coming home to Geelongwith 
love TinaXX 

[ozmidwifery] Home birth on Hot Property TV show

[Lois Wattis]

Hi all,
Just for your info...one of my clients has heard that "hot Property" 
TV show will be featuring a story involving a home birth next Tuesday. 
Cheers, Lois

Lois WattisCommunity Midwifewww.birthjourney.com  

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Re: [ozmidwifery] vaginal wall tearing

[Lois Wattis]

Dear Isis - I am impressed with your response to Jo, 
and the way you have worked through your own experiences. 
Congratulations. You display courage and wisdom in your choice to birth 
(again)as naturally as possible. Iapplaud and endorse the 
advice given by the private OB. Being upright through labour and 
especially the use of water immersion which assists the process of softening and 
stretchingthe perineum, and 'feeling' your own progress in the expulsive 
stage. Most importantly, allowing the time for the crowning and 
birth of the baby's headand body to be SLOW, and not forced in any way - 
YOU WILL PROBABLY NOT NEED AN 
EPISIOTOMY!!Manybirth practitioners (midwives AND 
ob's) get very anxious when the birth is slow, and feel compelled to intervene, 
especially if the birth is in water.Birth in water is gentle on baby and 
on you...Be guided by your instincts. Best wishes, and let us know how it 
goes. Kind regards, Lois


  - Original Message - 
  From: 
  Isis and 
  Andrew Caple 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, June 04, 2003 6:19 
  AM
  Subject: RE: [ozmidwifery] vaginal wall 
  tearing
  
  
  Hi 
  Jo,
  
  I tore to the 
  4th degree with my daughters birth. A mix of factors caused it- 
  very fast labour, compound hand and forced pushing while on my back with my 
  legs braced on midwives hips.. My poor perineum didn’t stand a chance.. Unlike 
  your lady, I have had no problems healing, with incontinence or sexual 
  dysfunction.
  
  This birth I have 
  been advised by hospital OB’s to have a 
  c-section. Any midwife I speak to disagrees with that recommendation. A 
  private OB agreed that a VB was 
  indeed possible, but to keep upright, active during first stage. During second 
  stage, no forced pushing as such. Follow my urges and to breathe/grunt with 
  the uncontrollable urges. An episiotomy may be advisable while babe’s head is 
  crowning to ‘take the pressure off’ the peri scar tissue. This same 
  OB mentioned being in a 
  bath, peri massage, hot compresses, having my hands on my peri to ‘feel’ what 
  is happening- but most important, stay off my back J
  
  I wish your lady luck 
  and strength. It is a hard decision to make and only one that we (as the 
  mother) can make. We are the ones that have to stick up for ourselves and take 
  the bit between our teeth.. Then we have to be the one to climb back on the 
  horse and ride again if we fall off..
  
  I shall keep you all 
  posted as to how this birth goes. Less then 10 weeks till birth time finds 
  this family again J
  
  Cheers- 
  Isis
  
  -Original 
  Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of M  T 
  HolroydSent: Thursday, 29 
  May 2003 10:35 PMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] vaginal wall 
  tearing
  
  
  Dear Jo,
  
  
  
  I don't know if this will help, 
  but as a midwifery student I cared for a woman who had had a previous 3rd 
  degree tear (I think... can't remember all the details as it was 5 years 
  ago). She had to have it repared in OT at the time  I think maybe 
  one more op later down the track... as you can imagine she was very worried 
  this time around. The Dr's notes stated that she was to have an 
  episiotomy at even the slightest indication that she might tear. Looking 
  at her perineum the scar was large  there was a dint in it like someone 
  had removed a piece. Anyway, from memory she stayed mostly active 
   only just made it back onto the bed in time for me to catch the baby (I 
  know better now with regards to the bed thing)  I didn't even have time 
  to call the registered midwife until the baby was almost all the way 
  out. The woman did not have even a graze to her perineum / vulva. 
  She was absoulutly happy ( so was I ). She followed her own 
  instincts  no coaching from me or her husband.Good luck 
  to thiswoman for whatever she chooses.
  
  
  
  Tina H.
  

- Original Message - 


From: Jo  
Dean Bainbridge 

To: [EMAIL PROTECTED] 


Sent: 
Thursday, May 29, 2003 11:07 AM

Subject: 
[ozmidwifery] vaginal wall tearing



I know there has been discussion 
in the past about this but I am in a hurry to get some information for a 
woman whom had a positive vaginal birth that turned ugly when she "tore 
badly inside and out" (in quotes because that is what she said and I have no 
further knowledge of what sort of tearing it was.) She has had incontinence 
problems and sexual dysfunction for the last 16 months. Her first OB 
said to have a cs (of course) and then yesterday she was told that she 
should not have a cs and that a vag birth would be the best option. 
She is now very confused and scarred as hubby wants her to have cs and her 
fear is that a vag birth will increase problems they already 
have.

She is willing to have a vag 
birth if she 

Re: [ozmidwifery] genital herpes

[Lois Wattis]

HelloJan, I would suggest you access the 
Australian Herpes Management Forum via their website http://www.herpes.on.net and view the 
section "Management of Genital Herpes Simplex Infection in Pregnancy". I 
believe this provides the most objective and recentinformation on HSVII, 
compared to the'policies' of various institutions and colleges 
etc.

The main question is whether this is a Primary Episode, 
especially Third Trimester Acquisition, in which case the risk of viral shedding 
during labour (ifwithin 6 weeks of the lesions appearing)is very 
high. However if the primary episode of HSVII 
lesions occurred some time before the pregnancy and symtomatic recurrence of 
genital herpes occurs during the pregnancy, then vaginal delivery is appropriate 
if no lesions are present at delivery. The website provides detailed 
pharmacological treatment regimes where appropriate for mother and 
neonate.

Thereare also some homeopathic preparations which 
have been found to be very helpful in reducing the incidence of recurrence of 
HSVIIin pregnancy -the name escapes me at present - something with 
"H" in it - Mary M. will know -can you pls advise,MM?

Reduction of stress factors and using dietary and 
naturopathic methods of sustaining optimal immune systems are also 
essential for themother during pregnancy. It CAN be done, and I do 
know of a homebirth which occurred in WA this yearwhere these strategies 
were employed and a safe and successful outcome was achieved. Best wishes, 
Lois


  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  ; David 
  Simon ; [EMAIL PROTECTED] 
  
  Sent: Monday, June 02, 2003 9:55 PM
  Subject: [ozmidwifery] genital 
  herpes
  
  GH at 36 weeks what would u do anticipating a 
  homebirth jan 

[ozmidwifery] Prolonged ROM

[Lois Wattis]

I am seeking details ofpolicies and guidelines from hospitals and 
birth centres which offer the option of expectant managementfor 
prelabourruptured membranes at term. I can be emailedon 
[EMAIL PROTECTED] if you prefer to 
contact me offlist, or toattach documents.Looking forward to 
your support, regards Lois.
Lois WattisCommunity Midwifewww.birthjourney.com  

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FN:Lois Wattis
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20030530T150719Z
END:VCARD

Re: [ozmidwifery] Message from Lynne Staff: Side-by-Side Conference

[Lois Wattis]

This sounds great, and I wish I could go!  I hope there is plenty of
feedback to the list about the subjects being covered.  Regards, Lois

- Original Message -
From: Andrea Robertson [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Friday, May 30, 2003 2:00 PM
Subject: [ozmidwifery] Message from Lynne Staff: Side-by-Side Conference


Hi Everybody
A quick note to remind you that the Side By Side conference is on at the
Noosa Lakes resort on June 31st.
This conference is a day-long one, with co-presentations by midwives and
obstetricians about working together with and for women.
Topics and themes include:
Collaborative Care, two perspectives  Lynne Staff and Ted Weaver
What Is Normal Birth? James Moir
What should be the Correct Caesarean Rate? George Bogiatzis(I can hear you
all telling me the answers to that one already!!!)
Aligning Birth Centre Care within the Medicolegal system - James Orford
Antenatal Education, Women, Midwives and Obstetricians Sharing, Making a
Difference - Donna Thompson
Working With Women Beyond the Birth Andrea Cornthwaite
Waterbirth - obstetric and paediatric experiences Andrew Davidson and Tom
Hurley
The Care In Partnership Program (Caseload in the private sector) Irene
Kinmond.

Please contact Irene Kinmond at Nambour Selangor Maternity Unit on 07 5450
4350 or email her on [EMAIL PROTECTED]
Looking forward to seing as many of you who can come
Regards, Lynne

-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education

e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com


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Re: [ozmidwifery] risks of 4th c/s and support for artificial feeding

[Lois Wattis]

Dear Lynne and others on this subject
I agree this information needs to be given to women antenatally in whatever
location they can be accessed.  Problem is, women planning C.S. for whatever
reason frequently don't attend any antenatal education because they consider
they do not need it (not planning labour), so they are missed.  Their total
exposure to 'education' is what they get from the ob (!!!)  usually scant at
best.

Another common situation is that they are not 'planning' another pregnancy
so discount the potential consequences abnormal placental implantation in a
subsequent pregnancy.  We all know some pregnancies occur - unplanned
Women tend to hear what they want to, and discount the info they feel does
not apply to them.  I also find they (elective C.S. candidates) often know
NOTHING of the potential risk for endometrial problems related to their
scarred uterus another subject infrequently discussed in the ob.
education process.  Unfortunately, so many of the elective C.S. women are
NOT making truly informed choices.(sigh)   Lois

- Original Message -
From: Lynne Staff [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Saturday, March 29, 2003 6:53 AM
Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial
feeding


The potential for placental problems  does not seem to be discussed with
women when they are booking in for repeat caesareans. When I speak with
women who are having elective repeat caesareans, they seem unaware that this
may be a consequence of this choice. As a result of this, this information
is included in antenatal classes when discussing caesarean birth and also in
the VBAC and caesarean class.
- Original Message -
From: Marilyn Kleidon [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, March 30, 2003 1:33 AM
Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial
feeding


 Hi Sarah: I just wanted to add a note about the increased risks of
placenta
 previa, accreta, and percreta which are real risks to a populatiuon of
women
 who have had prior cesarean birth(s). However they really don't tell us
 anything about this woman's actual risk. If she has had problems with
 removal of the placenta after her previous cesareans then maybe this can
be
 checked out with u/s as this would tell us valuable info. We had a mum in
 for an elective repeat caesar the other week who had a known placenta
 percreta (had been checked by u/s as having not grown through to the
 bladder). There were extensive precautions taken to avoid an obstetric
 disaster and they did. I think the risk of women having these placental
 problems after c/s is a bit like women's risk of developing kelloid
growths
 after ear piercings: some of us will never develop them (0% actual risk)
and
 others will always develop them (100% actual risk), but we don't know an
 individuals actual response until after the event, so all we can give is a
 population risk.

 I think an outcome of the increasing number of caesars occuring right now
is
 this increased risk of retained placentas (accretas etc..) due to uterine
 scarring. Since we have not done this before I think we simply don't know
 what the risks of this particular outcome occuring will be.

 marilyn
 - Original Message -
 From: Lynne Staff [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Friday, March 28, 2003 1:16 AM
 Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial
 feeding


  Hi Sarah - has she considered labouring and giving birth?
  - Original Message -
  From: sarah.darling [EMAIL PROTECTED]
  To: Ozmidwifery [EMAIL PROTECTED]
  Sent: Thursday, March 27, 2003 4:03 PM
  Subject: [ozmidwifery] risks of 4th c/s and support for artificial
feeding
 
 
   Recent new subscriber here. I'm a community midwife in England and am
  really
   struggling to find research on the risks of a 4th c/s as opposed to
any
   other number c/s (i.e. what are the increased risks of a 4th c/s, if
 any,
  so
   that one of 'our' women can make a decision whether to try for a 4th
 baby
  as
   she has been told that 4 x c/s is 'too dangerous' - her quote). Also
 does
   anyone know of any research asking women whether, if they chose to
   artificially feed their baby, they received support/teaching in making
 up
   feeds, etc., singly or in groups. This is for a senior student and her
   dissertation. Really enjoying all the wisdom out there! Best wishes
   Sarah Darling
   [EMAIL PROTECTED]
   Community midwife
  
  
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Re: [ozmidwifery] Re: sore dry areola

[Lois Wattis]

PS - could the areola problem be topical thrush?  Lois

- Original Message -
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, March 25, 2003 6:22 PM
Subject: [ozmidwifery] Re: sore  dry areola



from client can someone help?
have done the usual ie no soap no bra no sythetics its a real problem thanks
in anticipation jan
what can I use to soothe very itchy, dry
 areola at the moment?

 Oh and also meant to ask you if you knew anything about Hypno birthing
 yesterday..can't seem to get any information here in Australia..lot's in
the
 US..why are we so CONSERVATIVE in this country about birthing...grr!



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Re: [ozmidwifery] Re: sore dry areola

[Lois Wattis]

Hello Jan - regarding the Hypnobirthing query -
A fellow midwife found me a one-page article published in the latest
Wellbeing magazine on Hypnobirthing - Australian based info and contacts.
Let me know if you would like me to post you a photocopy.  Quite a good
theoretical description of it, though I felt it was a bit weak in the
'scientific explanation '. Cheers, Lois
- Original Message -
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, March 25, 2003 6:22 PM
Subject: [ozmidwifery] Re: sore  dry areola



from client can someone help?
have done the usual ie no soap no bra no sythetics its a real problem thanks
in anticipation jan
what can I use to soothe very itchy, dry
 areola at the moment?

 Oh and also meant to ask you if you knew anything about Hypno birthing
 yesterday..can't seem to get any information here in Australia..lot's in
the
 US..why are we so CONSERVATIVE in this country about birthing...grr!



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Re: [ozmidwifery] birthing pool liners

[Lois Wattis]

Hi Tanya - I use a tarp first in the 
pool (for strength), then two clear plastic sheets 4metres square each for an 8 
sided pool. Most Bunnings Hardware warehouse stores (in WA) keep the 4 
metre wide sheets (folded in half on the roll, so roll looks 2 metres 
wide). I've bought a whole roll at a time, and dispense off measured 
sheets of plastic- depending on what size pool the family has chosen to 
use (6, 7 or 8 sided)., and supply it to the client when they hire the 
pool. As Sally says, black plastic CAN be used. It's thicker but I 
don't like the look of it in the pool (kind of dark and sinister) while the 
clear plastic shows the blue tarp so looks nicer. I've also known people 
to put a favourite piece of material, sarong or whatever in the base between the 
tarp and plasticto enhance the appearance from inside the pool. 
Whatever works for the woman, eh? The clear plastic sheets can be 
also bought one or two or more at a time dispensed off the rollfrom 
Bunnings by the people using the pool if they prefer to buy their own. I 
encountered problems in my region - the plastic was not ALWAYS available at some 
stores, so Idecided to supply it myself to ensure it WAS available when 
needed. It costs about $12 per sheet bought individually, and quite a bit 
cheaper if dispensed off the roll from me. The clients usually dispose of 
the first sheet (contaminated by body fluids), and may keep the second sheet for 
whatever theymay need it for... or some give it back to me to use as a 
floor sheet to protect carpets for another family.Hope this 
helps. I've written detailed instruction sheets for putting it all 
together... let me know if you'd like a copy and I can email it to you. A 
look at the photo gallery on my website www.birthjourney.com will give you a 
visual image of what I'm describing...Happy Water Birthing! regards 
Lois

  - Original Message - 
  From: 
  Tom, Tania and Sam 
  Smallwood 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, March 21, 2003 4:48 
AM
  Subject: [ozmidwifery] birthing pool 
  liners
  
  Just wondering if there is anyone on the list who can 
  enlighten me as to where to buy liners for our birthing pool. Wendy and 
  I are having another one built (hard sided one that slots together and has a 
  blue liner) and are wondering what the liners are worth, and where to purchase 
  them. Any ideas? We're in Adelaide by the way!
  
  Tania
  x

Re: [ozmidwifery] Midwife Journal

[Lois Wattis]

Thanks Darren - interesting, but not the Practising 
Midwife. Cheers, Lois

  - Original Message - 
  From: 
  Darren 
  Sunn 
  To: Ozmidwifery 
  Sent: Monday, March 17, 2003 5:51 
PM
  Subject: [ozmidwifery] Midwife 
  Journal
  
  I think I may have what you are searching 
  for:
  
  Try this linky:
  
  http://www.midwives.co.uk/default.asp?chid=445
  
  regards 
  
  Darren

Re: [ozmidwifery] re ear infections

[Lois Wattis]

There was an article on Children's Health Channel that 
someone else posted recently, regarding cod liver oil and multivitamins being 
effective in reducing ear infections if given daily. Go to

http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=5576

Cheers, Lois


  - Original Message - 
  From: 
  Judy Giesaitis 
  To: '[EMAIL PROTECTED]' 
  
  Sent: Tuesday, March 18, 2003 9:56 
  AM
  Subject: RE: [ozmidwifery] re ear 
  infections
  
  thankyou, great for you and your children 
Judy
  
-Original Message-From: Victoria Couldwell 
[mailto:[EMAIL PROTECTED]Sent: Tuesday, 18 March 
2003 11:41 AMTo: [EMAIL PROTECTED]Subject: 
Re: [ozmidwifery] re ear infections


Dear Judy,
About 6 months ago, my daughter (4 years old)was diagnosed with a 
mild-to-moderate hearing loss in both ears (due to fluidbehind ear 
drums  scarring of). She could not hear me when I called her from 
downstairs or when I spoke to her in the car (she could notsee my 
face/mouth). The Ear Nose Throat spec. we went to see immediatley suggested 
grommet surgery (without even looking at my daughter). I returned to GP 
unhappy and unwilling to commit to surgery and asking him what they next 
option was... I was not happy with the thought of the general anaesthethic, 
or the scapelmaking an incision in both of her eardrums 
g...
So, the GP suggested that I elimate dairy from her/our diets ASAP, and he 
sent her for a food allergy test, that confirmed this as well as showing an 
extreme allergy to wheat. Months later, after several hearing test along the 
way and totally rearranging my shopping and cooking routines... we have had 
success and avoided surgery. At the last hearing test (3 weeks ago), most of 
her hearing levels were back up at the normal range and some were just 
below. It has taken 6 months, and a lot of patience...
I actually didn't use any oils during this time, however my children both 
take a multivitamin everyday.
Hope I can offer some help,
Victoria

From: Judy Giesaitis <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED] 
To: "Ozmidwifery (E-mail)" <[EMAIL PROTECTED]>
Subject: [ozmidwifery] re ear infections 
Date: Mon, 17 Mar 2003 10:14:04 +1100 
 
Dear Wise Women 
 
there was on the list, just a few weeks ago reference to 
littlies being 
given oil/vitamins with their cereal helping with ear 
infections. Does 
anyone have the reference for this please? or at least the 
dosages and sort 
of oil given?? One of the ladies on the program I coordinate 
is very 
interested, would rather try that than have grommets [in 
Queensland, unable 
to swim she stated is hard!] thanks for your assistance 
 
Judy Giesaitis 
 
 
 
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Re: [ozmidwifery] March 2002

[Lois Wattis]

Woohooo!! Well done Denise! Love 
Lois

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  Cc: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 16, 2003 4:55 
AM
  Subject: [ozmidwifery] March 2002
  
  
  Dear ANJ Editor 
  
  I am writing to say that I am more than 
  disappointed with the ANJ (March 2003) uncritically reporting on a 
  research project which gives legitimacy to the idea that we should be working 
  towards increasing the number of very young infants who sleep through the 
  night.
  Rather ANF as an organisation including 
  maternaland child health professionalsshould have refuted this 
  researchwhich shows a basic lack of 
  understanding of the physiological needs of infantsas well as 
  beingcounter productive to the promotion, support and encouragement of 
  effective or demand breastfeedingand the related physiology and life 
  time health benefits. 
  
  The ANF should be setting an example for its members and 
  fellow health professional organisations in refuting such poorly structured 
  "research". 
  
  It is time that ANF reviewed all their 
  publications and activities to ensure that they be consistent and maintain the 
  organisation's espousal support for evidence based programmess such as the 
  Baby Friendly Hospital Initiative in this instance!
  
  Yourssincerely
  Denise Hynd
  RM, RN, BApSc(Nsg 
  Ed).

[ozmidwifery] The Practising Midwife website

[Lois Wattis]

The magazine has a website address printed on the bottom of the page as www.thepractisingmidwife.com but 
I have tried it and it comes up as a zero found on search. I think Deb is 
right - they do not have the journal acessible on-line, however it would be 
WONDERFUL if they did. I subscribe to the magazine and in my opionion it 
is the best of the lot. Here are some email contacts:

Group Editor, Louise Prime
[EMAIL PROTECTED]

Managing Editor, Jane Bowler
[EMAIL PROTECTED]

Perhaps some inquiries and pressure might see this journal made available 
inon-line? 

Lois WattisRegistered Midwifewww.birthjourney.com  

Baby Rock-A-Bye.jpgBEGIN:VCARD
VERSION:2.1
N:Wattis;Lois
FN:Lois Wattis
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20030316T040252Z
END:VCARD

Re: [ozmidwifery] failure to sleep through the night!!!

[Lois Wattis]

Hey Jackie, I hope you're writing a letter to 
them!!?? Best wishes, Lois

  - Original Message - 
  From: 
  Jackie 
  Kitschke 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, March 14, 2003 2:09 
PM
  Subject: [ozmidwifery] "failure to sleep 
  through the night"!!!
  
  I was just flicking through the latest ANF Journal before 
  chucking it out when the title "Frequent feeding clue to disrupted infant 
  sleep"!! It was published in the "Archives of Disease in Childhood" by M. 
  Nikoloulou and I. St. James-Roberts. These researchers identified "at risk" 
  infants during their first week of life which put them at risk of failing to 
  sleep through the night at 12 weeks of age!! Talk about turn normal physiology 
  into an abnormality. They say that babies that feed more than 11 times per day 
  at 1 week were 2.7 times more likely not to sleep through. Duh, aren't they 
  supposed to be feeding frequently. There is no mention of the failure to 
  thrive rate between the "control" group and the"behaviour programgroup". 
  This program included maximising the difference between day and night, 
  avoinding feeding and cuddling at night and from the age of three weeks 
  gradually delaying feeds when the baby awoke at night!! 
  When will sense prevail. Those poor women out there, they 
  must be so confused with nurses now taking that line.
  Just annoyed
  Jackie

Re: [ozmidwifery] Failure to sleep through the night

[Lois Wattis]

Excellent response, Daren. Cheers, 
Lois

  - Original Message - 
  From: 
  Darren 
  Sunn 
  To: Ozmidwifery 
  Sent: Saturday, March 15, 2003 7:04 
  AM
  Subject: [ozmidwifery] Failure to sleep 
  through the night
  
  A Grab from this article was also posted 
  in Brisbanes Child Magazine which is very misleading to 
  readers. 
  I wrote a reply to the Magazine as 
  below:
  
  
  Darren 
  Sunn
  [EMAIL PROTECTED]
  243 Lavelle Drv. 
  
  Logan 
  Village
  Qld.
  4207
  (07) 55 470 
  690
  0412 067 
  916
  
  To the Editor,
  
  
  I am writing in 
  response to an article posted in your “What’s News?” section of your March 
  edition under the title of “Frequent Feeding Linked To Sleep 
  Problems.”
  I would like to disagree with comments and assertions made within this 
  article as it implies that a child who feeds 11 times a day in the first 
  week is a “Problem child with a possible sleep disorder to follow”. To suggest 
  that a mother feed her newborn less is not only dangerous but also abusive 
  towards the child.
  Ian St James-Robertson in his research suggests that with some “Behaviour 
  Program” techniques, it’s possible to change the Childs sleeping patterns at 
  12 weeks. His research recognised “differences in sleep behaviour” and he then 
  labelled this a “sleep problem”. This is akin to suggesting that babies with 
  different coloured hair have a “hair problem”. Evidence shows that it is 
  normal development to wake during the night. While it may seem attractive to 
  control your child’s sleeping patterns it is not to the benefit of the child 
  but the adult. 
  In the February issue of Archives of Childhood Disease, the British 
  researchers identified “high-risk” infants and say the main reason why 
  3-month-old infants don't sleep through the night is that they are fed too 
  often during their first week of life. Many experts would strenuously disagree 
  that any problem exists and therefore should not be treated as a problem, 
  including the American Academy of Paediatrics. 
  Experts such as the AAP recommends eight to 12 breastfeeding’s within 24 
  hours, and other experts say up to 15 feedings is perfectly normal and 
  healthy. 
  Ian suggests that adopting a 
  behavioural program, parents will be able to increase the likelihood that 
  their baby sleeps through the night." 
  Of the 600 babies studied, one-third of the babies were enrolled in a 
  program in which their parents were assisted by a team of Advanced Practise 
  Nurses in their homes to deliver the program. In addition to delaying feedings 
  when the baby awoke at night, "they were asked to settle a baby judged to be 
  asleep in a cot or similar place, and to avoid feeding or cuddling the child 
  to sleep at night," says St. James-Roberts. 
  At 12 weeks, there was an increase in the number of infants that slept 
  through in the ‘Program’ group compared to that of the other 2 unsupported 
  groups. 
  Again this result was sharply criticised due to the strategies involved and 
  if at all real benefit would favour the infant. 
  James McKenna, PhD, Director of the Mother- Baby Sleep Laboratory / 
  University of Notre Dame, argues that to assume that a child “should” sleep 
  through at 12 weeks is to disregard what is really normal, healthy human 
  infant behaviour. “ It's akin to blaming the victim for the crime." 
  McKenna believes that the human biological evidence suggests that babies at 
  that age do not sleep the night - and they shouldn't. “The behavioural program 
  suggested by these researchers is in complete contradiction to what we now 
  known as healthy for babies." 
  In his research, McKenna found that many breast-fed babies consume up to 15 
  feedings in a 24-hour period -- and typically gain weight and grow faster when 
  sleeping in the same bed with their mother. "Their average breastfeed is not 
  only more in frequency but greater in duration," he says. "And the notion of 
  not cuddling babies at night is ludicrous. Babies not only depend on breast 
  milk for growth, but also more importantly, they depend on contact, touching 
  and affection. When the natural care giving tendency of the mother is 
  suspended by thinking that this is in the best interest of baby is extremely 
  appalling." 
  Nancy Wight, MD, a lactation expert and AAP spokeswoman, also maintains 
  that infants should not be sleeping through the night well past 12 weeks. 
  "Even at one year, a baby should be waking up if he's breastfed," she 
  explained. "Breast milk is emptied from the stomach in about one-and-a-half 
  hours, while formula takes about three hours. These researchers' definition of 
  a sleep disorder - the baby waking up throughout the night - is in complete 
  error. And not only that, it's against natural tendencies. Eleven feedings in 
  a 24-hour period or even more is absolutely normal." 
  I believe that this research purports a 'solution to a 

Re: [ozmidwifery] Bicornate uterus

[Lois Wattis]

Andrea - Is she a primip?
My only confirmed experience of a woman with bicornate uterus was as
follows:
Woman had two normal vaginal births with no problems at all.
Third baby confirmed by U/S to be breech.  Delivered by compulsory/elective
C.S.
During the C.S. the OB discovered she had a bicornate uterus.
Fourth baby - Same Ob. states it MUST be a repeat C.S.  No negotiation.
Woman booked in at 38/40 against her wishes, complaining loudly to admitting
midwife (me) that she does NOT want a CS - wants a vaginal birth.  I
dutifully inform her of her rights.  She stays in hospital, with her older
children all complaining that Mum does not want a C.S.
I arrived at work next morning to triumphant news about the C.S. woman
delivering overnight - having laboured quietly and secretly in her room -
Ob. called in the night and advised of labour - insisted on EMERGENCY C.S. -
O.T. staff all called in for emergency woman protesting all the way to
theatre - and triumphantly pushed out her baby on the operating table in
front of astonished O.T. staff... (they don't see many normal births).  Ob
(red faced and angry as hell) forgets in the confusion to give to synto - so
a physiological third stage to boot.  No problems or complications and the
smile could not be wiped off that woman's face for weeks.

This story sticks in my mind as one of the most empowering hospital births I
remember.

Not too sure about the double cervix issue - haven't seen that myself.  Food
for thought  Cheers, Lois

- Original Message -
From: Andrea Robertson [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, March 09, 2003 3:31 AM
Subject: [ozmidwifery] Bicornate uterus


Hello wise women,

I have met a midwife here in Ireland (where I am now presenting workshops)
who would dearly love a home birth. She says she has a bicornate uterus and
a double cervix. She feels this puts her at high risk, although her
obstetrician seems to think she could labour OK and get by without a
caesarean (is he stringing her along, I wonder?). Have any of you had any
expereince with this kind of labour and how would you feel about a home
birth? She lives close to the hospital and I did suggest that she could
always see how labour progresses and if there is a problem transfer
quickly.  She has yet to engage a midwife, although there is one here who
will do twins at home and has many years of experience, who may be able to
help.  It seems that after today's workshop she is feeling inspired and
would like to reconsider a home birth (having reluctantly given up on the
idea). Any thoughts would be very gratefully received - I will email them
on to her

Andrea


-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education

e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com


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Re: [ozmidwifery] Hep B Vaccine at Birth

[Lois Wattis]

Congratulations, Sandra on a 
comprehensiveand GUTSYaccount of the Hep.B at birth 
situation. This information needs to be disseminated all over 
Australia. I work with Mary M. and have a similar approach to the Hep.B 
question when askedby clients etc. Keep up the great efforts towards 
enlightenment. I look forward to your published work! Kind 
regards, Lois


  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 10:30 
  AM
  Subject: [ozmidwifery] Hep B Vaccine at 
  Birth
  
  I have previously expressed concerns related to 
  the administration of Hep B Vaccine (HBV) to all babes at birth ie that the 
  midwives in my unit had become aware of marked increase in numbers of 
  irritable babes and many more with breastfeeding difficulties in the first few 
  days, since May 2000 when the new schedule was introduced.
  Sincethen we have done some investigation 
  and as we became convinced of the connection we have been much more 
  conscientious aboutgaining "informed consent" prior to administration of 
  birth dose of Hep B ie "full disclosure of risks/benefits without coercion or 
  fraud". As a result, parents are not 
  consentingand the rate of uptake of the birth dose in our unit has 
  dropped off dramatically.(It is generally much nicer to come to 
  work these days too with fewer screaming babies, distraught mothers and 
  frantic fathers!)
  We (the midwives) are nowcopping flak 
  because we show up very large on the radar in the 'Early Warning System' of 
  theauthorities pushing the universal immunisation issue. The 
  pressure to conform has come from Public Health Unit, District Manager, 
  Medical Superintendent as well as letters of complaint from a local GP (who 
  may be fearful that he will lose his incentive payments if the children who 
  return to hispractice have missedthe birth dose!). We have been told 
  that we must "actively encourage" our clients to accept the vaccination..that 
  "it is frequently reported that the unit works well because of the high degree 
  of trust and respect. Herein lies the opportunity to disseminate the positive 
  effect of early Hepatitis vaccination" We have been told that we must 
  "act in line with the Code of Conduct"to actively promote this 
  policy.
  
  I do believe this is a terribly important ethical 
  issue and will not persuade my clients to act against there best interests and 
  instincts.
  We use the materials and information provided by 
  Qld Health and "immunise Australia"when we discuss the issue with the 
  parents.It is acknowledged in the "Understanding infant hepatitis 
  B immunisation" pamphlet put out by the "immunise Australia Program" that 
  among the common side effects are mild fever, joint pain, irritability and 
  baby going "off its food for a short time". - discuss how this might affect 
  their newborn in the first few days of life.
  Whilst these common and perhaps transient side effects may be of little 
  concern in an older child they are liable to be of much greater significance 
  in a newborn child who is already facing many challenges at this deeply 
  important point in its life. Challenges to the newborn (physiological 
  and iatrogenic pathology)
  
adaptation to extrauterine life – profound physical changes in all 
systems respiratory, circulatory, neurological, sensory, 
digestive/alimentary 
organisation of suck to enable feed 
overcome effects of pharmacological substances used in labour, birth an 
postnatally 
recovery from the traumatic effect of birth eg head moulding and other 
birth injury
  We also give them the Qld Health Hep B Informationwhich has this 
  advice "give extra fluids e.g more breast feeds or water" - we discuss 
  the implication of thisat initiation of breastfeeding.
  We also discuss the risk factors for contracting the disease both in 
  infancy and throught the lifespan. 
  All women are screened for HBsAg antenatally so that babes of 
  HB positive mothers can receive both Immunoglobulin and vaccination at birth. 
  This has been shown to be extremely effective in managing the risk of vertical 
  (mother to baby) transmission
  The risk factors (for contracting the disease) are IV drug use, unsafe 
  sexual practices and certain ethnic groups have high endemnicity so may have a 
  slightly elevated risk of transmission (e.g aboriginal, TSI, particular asian 
  groups for whom we have had an effectective 3 dose targetted program for many 
  years). Certain occupational groups, eg health workers, have a higher than 
  average risk and are generally vaccinated witha 3 dose progam.
  World Health Organisation classifies Australia as a "low" risk for Hep B 
  with low endemnicity of 2%, transmission rates in infancy are "rare" and 
  "infrequent" in childhood. Qld Health Notifiable Diseases Annual Report 1997 
  -2001 did not count any in the age group of  13 years. 

Re: [ozmidwifery] Always Greener

[Lois Wattis]

Hello Christina and other ozmidders,
I watched that bit of that episode too- by accident, 
actually...
I agree with Christina's assessment and 
comments.
At least it showed that babies can get born safely and 
happily without adoctor in a white coat and doting handmaidens surrounded 
by hi-tech equipment! It was also nice that they included a bit about the 
placenta... the Dad (who missed the birth) fainted when he was shownthe 
placenta by the dairy farmer who 'delivered' the baby. Sounds silly, but 
it fitted in with the context of the story regarding the Dad's uncertainty about 
all the birth plans etc. Not too bad... Cheers, 
Lois

  - Original Message - 
  From: 
  Christina 
   Damien 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 7:40 
AM
  Subject: [ozmidwifery] Always 
  Greener
  
  The episode last night of an unplanned homebirth (due 
  to a car not starting to get them to hospital) was not too bad 
  considering the crappy way most births are portrayed on T.V. 
  My 2 gripes are: Childbirth is not a great time for 
  cow jokes, and unmedicated women don't need to be told to 
  push!
  I often think that the main function of antenatal 
  classes is to undo all the bad messages that women get from T.V. and 
  magazines.
  Christina.

Re: [ozmidwifery] Mothers and Midwives Marched today

[Lois Wattis]

Title: Mothers and Midwives Marched today



CONGRATULATIONS TO ALL INVOLVED.
 WELL DONE

Best wishes, Lois

  - Original Message - 
  From: 
  Julie 
  Clarke 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 7:57 
AM
  Subject: [ozmidwifery] Mothers and 
  Midwives Marched today 
  
  Hi 
  everyone
  There was about 50 
  mothers, midwives, lots of babies in prams and slings marching together today 
  at lunchtime from about 12noon through Martin Place up to Parliament 
  house. It was a 
  thrill to see so many turn up.
  It was fun, we chanted 
  What do We want? Midwives and When do we want them? Now  Very 
  LOUDLY
  We tried 
  to synchronize some other chants too 
  and had a couple of laughs along the way so for a while we 
  switched to “Mothers 
  and Midwives marching together”
  The area was fairly 
  crowded with lots of astonished faces 
  looking at us reading our slogans on 
  posters.
  Justine Caines (Maternity 
  Coalition NSW President) was brilliant at organizing everyone – she has 
  the ability to make it all look very easy. Straight after the march she took off 
  for a meeting in Canberra – what a 
  woman !!!
  2GB Radio was there for 
  interviews.
  ABC Radio was there 
  too.
  Channel 7 News was 
  filming – 
  and following us all 
  the way. 
  I am not sure who the 
  other film crews were but they were very interested and followed our crowd 
  too.
  We had representatives 
  from the Democrats in the march and with their banners 
  too.
  The march was 
  co-coordinated by Tanya Leishman (from my classes) who is a Greens Candidate 
  from Heathcote and the Greens were well represented and had their flags and 
  banners too. 
  Lee Rhiannon gave a speech as did The Hon. Dr 
  Arthur Chesterfield-Evans MLC – 
  these were recorded 
  by 2GB and ABC RADIO.
  It was an easy 
  march – no 
  rain J - just a fairly 
  short distance to 
  travel so we 
  didn’t get 
  puffed out and it 
  seems having it in the middle of the city was a good idea to attract the media 
  attention.
  The youngest baby was 
  Tanya’s at 6 
  weeks old!!! Isn’t she 
  amazing to organise this with her first baby being 6 weeks 
  old.
  Some mothers brought in 2 
  or 3 children and they were all great – the 
  camera crews were particularly interested in filming the 
  littlies.
  After the march we 
  relaxed together and ate our lunch at the domain in the afternoon 
  sunshine – 
  quite beautiful 
  - 
  It was clearly a very 
  very successful march.
  It was a 
  buzz!!!
  Never mind if you 
  weren’t there 
  to join us this time – come 
  along next time.
  I think the next one is 
  for the Illawarra region at Wollongong 
  – 
  only takes 50 mins to get there from Sydney.
  Hug to 
  all
  Julie Clarke
  Childbirth and 
  Parenting Educator
  Transition into 
  Parenthood
  9 Withybrook 
  Pl
  Sylvania 
  NSW 2224
  T. (02) 9544 
  6441
  F (02) 9544 
  9257
  M. 0401 265 
  530
  email 
  [EMAIL PROTECTED]
  

Re: [ozmidwifery] Push for Informed choices?

[Lois Wattis]

Hi Denise - any chance of arranging for a pasted copy 
onto ozmid. list, or alternately - paste a copy of Hannah's article directly to 
me please? Ta, Lois

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Cc: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 1:55 
AM
  Subject: [ozmidwifery] Push for Informed 
  choices?
  
  
  
  Dear All,
  I commend the article, Political Matters by 
  Hannah Dahlen; "Marketing fear and certainty - the oldest trick in 
  the book!" in the NSW Midwives Association's Midwifery Matters December 
  2002 issue. 
  
  I have asked the NSW Midwqives Association that 
  they lead the profession in calling for 
  policies and protocols based on and supportive of informed choice 
  formaternity service consumers and practitioners.
  
  I have suggested that they could begin with 
  the formation of a committeeto review NSW Health's maternity 
  serviceinformation documents to ensure that they are not "Marketing fear 
  and certainty". Similarly I feel NSW Health 
  documents used by service providers such as Antenatal records, Clinical 
  Pathways, the Obstets Data Base, should be reviewed in light of evidence based 
  practice and infomrmed consent . Thus such documents would support ongoing 
  review and reflection of practices rather than perpetuate traditions, 
  defensive over-servicing or subjective assesments.
  
  Concurrently NSWMA and other maternity service 
  educators could produce articles, workshops etc on the professional and 
  legal imperative, and benefits of protocols and activitieswhich 
  aresupportive andconsistent with the concepts ofinformed 
  choice and reflective practices.
  
  
  If you are in a position to be involved in 
  such activities I would encourage you all to reflect and act 
  accordinglyso NSWMA and otherswould act positively and effectively 
  to counter the defensive obstetric practices and related 
  fearscurrentlyinfluencingNSW maternity services as well as 
  the media as explored in Hannah's article!
  
  
  
  
  Denise Hynd
  

Re: [ozmidwifery] Midwife Care

[Lois Wattis]

Dear Felicity - did you get any responses to this 
question? If you are still in need of info please contact me off-list at 
[EMAIL PROTECTED] or www.birthjourney.com Kind regards, 
Lois

  - Original Message - 
  From: 
  Felicity Cummins 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, March 04, 2003 4:41 
  PM
  Subject: [ozmidwifery] Midwife Care
  
  I am a midwife and currently work in a large 
  country hospital. I am looking for some advice with what to charge a woman who 
  wishes to have some private 1 on 1 midwife care for labour, birth and a few 
  postnatal visits.
  Could anyone tell me what they charge in such a 
  situation. Do you nominate a set fee (this is her first baby) or do you 
  prefer to work to an hourly rate?
  
  Looking forward to your responses.
  
  Felicity

Re: [ozmidwifery] studing and baby

[Lois Wattis]

What a wonderful achievement! 
CONGRATULATIONS to you Veronica. Best wishes, 
Lois

  - Original Message - 
  From: 
  Veronica 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, February 28, 2003 10:56 
  PM
  Subject: [ozmidwifery] studing and 
  baby
  
  It is really hard studying and having a baby at the 
  same time, but it can be done. I had my son at the end of my first year 
  at Uni studying my undergraduate degree and went back 3 weeks after he was 
  born Being a single parent didn't help and I got alot of people saying 
  to me "Now you will have to either quit your course or take a year off." 
  I was very lucky to have a fantastic and supportive head of nursing (she was a 
  midwife!), who said I could bring him to lectures and made a room where I 
  could breastfeed and change him.Ionly took up the offer a 
  couple of times whenI didn't have a babysitter but the times I did he 
  wasn't a problem. I remember going to lectures then racing back to my 
  babysitters house during lecture breaks with full leaking breasts, feeding him 
  then racing back to attend more lectures. I have photos where I am 
  breastfeeding, studing and eating dinner all at once. Night feeds were 
  done in bed half asleep. Hard at first but then we both got into the 
  routineandI breastfed him for 2 years. I didn't take him to 
  lectures because I couldn't concentrate because I was so focused on him and 
  afraid that any noise he made would disrupt the class so I found it more 
  benefical to go during lecture breaks to the babysitters.
  I guess it all comes down to support and working out 
  ways that work for you, and always keeping in mind your goals. 
  Hehas just turned 5 and I have just finished my Graduate Diploma of 
  Midwifery which was my goal. We have both survived!
  
  Veronica
  
- Original Message - 
From: 
[EMAIL PROTECTED] 
To: [EMAIL PROTECTED] 

Sent: Thursday, February 27, 2003 10:53 
PM
Subject: Re: [ozmidwifery] Today in 
Parliament...
In a message dated 2/26/03 3:53:33 PM W. Australia 
Standard Time, [EMAIL PROTECTED] 
writes:
My daughters friend who is due to have a baby in the next few 
  days -and is enrolled to start a doctorate in psychology at Melb uni has 
  been told by her supervisors that she is under no circumstances to BRING a 
  BABY to lectures. -these damn babies must be so disruptive -how are women 
  meant to live their lives??And when they are psychology lecturers who dont get the 
  motherbaby bond what hope is there??I have just started a Grad Dip Ed at Uni, and one of 
my fellow students has a baby of (I guess) around 8 weeks old. She 
BF's in the lectures but I have to admit that when baby starts crying it is 
quite disruptive, and very difficult to hear the lecturer (it is quite a 
large theatre). Mum takes baby out when he starts crying, but then, of 
course, she misses out on what's been said. I am in awe of her, when 
my kids were that age, I was still trying to get my head around getting out 
and about let alone thinking of doing a Grad Dip.Debbie SlaterPerth, 
WA 

Re: [ozmidwifery] BF in public

[Lois Wattis]

HOORAY!!!
Well done Geoff! Fantastic that it 
was a MALE voice of support.
Kind Regards, Lois


  - Original Message - 
  From: 
  Julie 
  Clarke 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, February 28, 2003 11:27 
  AM
  Subject: RE: [ozmidwifery] BF in 
  public
  
  
  My husband Geoff, 
  during his busy morning at work, was listening to 2UE and in response to 
  listening to the nonsense comments about Kirsty 
  being an exhibitionist he rang up and got 30 seconds to give the counter 
  argument – which he did very well – 
  I’m so proud of him 
  J
  hug
  
  
  Julie 
  Clarke
  Childbirth 
  and Parenting Educator
  Transition 
  into Parenthood
  9 
  Withybrook Pl
  Sylvania NSW 2224
  T. 
  (02) 9544 6441
  F 
  (02) 9544 9257
  M. 
  0401 265 530
  email 
  [EMAIL PROTECTED]
  
  -Original 
  Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Darren SunnSent: Friday, 28 February 2003 12:18 
  PMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] BF in 
  public
  
  
  Parliament is FULL of 
  children!
  
  
  
  Point taken regarding setting some 
  limitations. Which is common sense 
  prevailing.
  
  
  
  Wouldn't Australia be a wonderful 
  place if the majority of parliament were women. Within this model I would 
  expectthat BF wouldn't be an issue. Logically it would follow that the 
  appropriate care, cultureand circumstances would already be in place to 
  cater for Mothers and the needs of their children, and controversial issues 
  such as this would not exist.
  
  
  
  A mother of a newborn should have 
  the right to BF anywhere she desires! 
  
  (some may not agree with the 
  mothers decision, however she should have the right) and once again I'm sure 
  commonsense would prevail. Women who are boilermakers aren't going to endanger 
  their children by taking them to work, and we don't need legislation to 
  enforce that.
  
  I'm sure women are more then 
  capable of deciding the appropriate environment for their children, with 
  sensitivity and consideration for other people's 
  needs.
  
  
  
  
  
  Some Politicians: yell, 
  tell lies, abuse and act very immature at times in 
  parliament.
  
  maybe in an ironic 
  way it's best they don't allow "strangers" in 
  there.
  
  
  
  Darren
  
  
  
  

Re: [ozmidwifery] Afterbirth pains

[Lois Wattis]

Dear Tina,Since working in home birth for the 
past 18 months or so, I have managed almost all of the third stages of birth 
physiologically. Thewomen who have anticipated"killer 
afterbirth pains" because of their previous experiences have - without exception 
- had less severe afterbirth pains following a physiological birth of the 
placenta. The syntocinon given for active management seems to set the 
woman up for profound involution action and consequent increased pain. 
Grandmulti's tell me the afterpains get worse with each birth, but several of 
the women I refer to above were having their sixth babies (and first home births 
and first physiological third stage), with dramatically less involution pain 
felt. We routinely give arnica after the birth, use warm packs placed on 
the lower abdomen during feeds, and paracetamol taken before each feed (no more 
than the recommended dosage per 24 hours of course) is also helpful. 
However, I feel confident you will experience less involution pain with a 
physiologicalthird stage. Good luck, and let us know how you get 
on. Cheers, Lois


  - Original Message - 
  From: 
  Marty  Tina 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, February 22, 2003 6:57 
  PM
  Subject: [ozmidwifery] Afterbirth 
  pains
  
  Dear All,
  
  I am hoping you may be able to help. I am 
  expecting my fourth baby in approx. 2 weeks  need some advise. I 
  usually experience killer afterbirth pains that often seem worse than the 
  labour. For this birth I am attending the Birth Centre here in Brisbane 
   am planning to birth in the water  birth my placenta 
  physiologically. I have not had a physiological third stage in the past 
  (nor a water birth)  I was hoping that this will make a difference to the 
  afterbirth pains. The acupuncturist I have been visiting has also 
  suggested Chinese herbs (usually used in labour) to assist with this pain 
  also... have any of you used Chinese herbs for something like this  if 
  so, are they safe for breastfeeding?
  
  Also, my husband  I are planning on having 
  our 3 other children at our birth  I was thinking that if all goes to 
  plan that they may like to touch the baby as he/she crowns  is 
  born. Do any of you experienced with siblings being present find that 
  siblings want to be this involved? I want my children to find this 
  experience as wonderful  totally natural as I do. I cannot put into 
  words the way I feel about birth (as a woman, mother  midwife)... but 
  would somehow like to share these overwhelming feelings with my 
  children. Do many of the children want to get into the birth pool / tub 
  during the labour /or birth? I know all children are individual (my 
  three certainly are)... but would not like to limit them  the way they 
  would like to participate just because I have no idea about the normal 
  reactions of children I have never met anybody who has had their other 
  children present at their births  I have never cared for any woman in 
  that situation(in fact almost everyone I tell of our plans look at 
  me as though I've stepped from another planet).
  
  Any suggestions welcome (I hope my questions 
  make sense brains getting a bit foggy in the lead up to 
  birth).
  
  Tina H.

Re: [ozmidwifery] Afterbirth pains

[Lois Wattis]

An addit to my previous comments - forgot to talk about 
the kids. 
Most children are attracted to the tub, and often ask 
if they canget in before the birth. However when they see anything 
'icky' floating in the tub they're usually put off. It is common for the 
Dad to be in the tub helping the mother during the labour and birth (maybe even 
catching the baby with the mother). The children will probably be 
wide-eyed in awe of the arrival of their sister or brother. My advice 
would be to just let them follow their own instincts regarding their level of 
involvement and contact... they will know what's right for them. Just 
allow them plenty of time for their own personal adjustment. Have a look 
at my website photo gallery www.birthjourney.com to viewsome 
wonderful moments of whole families participating in the birth of their 
siblings. You could also show the children, so they see that it's "normal 
and OK" because they've seen other kids experiencing birth first hand. I 
suppose you have shown them some of the lovely children's books, like "Hello 
Baby" and "There's a house inside my Mummy"... there are others too -- 
they are great. Good luck. Lois



  - Original Message - 
  From: 
  Marty  Tina 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, February 22, 2003 6:57 
  PM
  Subject: [ozmidwifery] Afterbirth 
  pains
  
  Dear All,
  
  I am hoping you may be able to help. I am 
  expecting my fourth baby in approx. 2 weeks  need some advise. I 
  usually experience killer afterbirth pains that often seem worse than the 
  labour. For this birth I am attending the Birth Centre here in Brisbane 
   am planning to birth in the water  birth my placenta 
  physiologically. I have not had a physiological third stage in the past 
  (nor a water birth)  I was hoping that this will make a difference to the 
  afterbirth pains. The acupuncturist I have been visiting has also 
  suggested Chinese herbs (usually used in labour) to assist with this pain 
  also... have any of you used Chinese herbs for something like this  if 
  so, are they safe for breastfeeding?
  
  Also, my husband  I are planning on having 
  our 3 other children at our birth  I was thinking that if all goes to 
  plan that they may like to touch the baby as he/she crowns  is 
  born. Do any of you experienced with siblings being present find that 
  siblings want to be this involved? I want my children to find this 
  experience as wonderful  totally natural as I do. I cannot put into 
  words the way I feel about birth (as a woman, mother  midwife)... but 
  would somehow like to share these overwhelming feelings with my 
  children. Do many of the children want to get into the birth pool / tub 
  during the labour /or birth? I know all children are individual (my 
  three certainly are)... but would not like to limit them  the way they 
  would like to participate just because I have no idea about the normal 
  reactions of children I have never met anybody who has had their other 
  children present at their births  I have never cared for any woman in 
  that situation(in fact almost everyone I tell of our plans look at 
  me as though I've stepped from another planet).
  
  Any suggestions welcome (I hope my questions 
  make sense brains getting a bit foggy in the lead up to 
  birth).
  
  Tina H.

Re: [ozmidwifery] IWD NMAP

[Lois Wattis]

Hi Denise, IMD is in May usually - has it been 
changed? Lois

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, February 24, 2003 3:44 
  AM
  Subject: [ozmidwifery] IWD  
  NMAP
  
  
  
  
  
  Dear All
  
  Mar 4 is International Women's Day and an 
  opportunity to put NMAP before the women who are involved in these 
  activities!
  Usually these are 
  the W libbers who are politically involved and have established networks which 
  could be re-energised by the research etc behind NMAP.
  
  So time to hit the keyboard find the links, make 
  phonecalls and see where we can disseminate NMAP info at state and local 
  levels.
  
  Remember also NMAP is Democrat and Greens policy 
  so there is another layer to work with !
  
  Personally I feel we could use these positively 
  motivated and activate people's linkagesto organise local community 
  meetings to discuss current maternity services and their outcomes compared to 
  NMAP and ask the local community if they would likeaccess to Community 
  Midwifery,to form a group as in the Illawarra 
  (NSW).
  
  For example 
  http://www.greenleft.org.au/back/1999/348/348p6b.htmis 
  about IWD activities in Lismore
  
  
  What do you 
reckon?Denise

[ozmidwifery] Midwifery topics

[Lois Wattis]

Unpopular as this may be, can I endorse the requests of many (over time) to 
keep the ozmid list material to midwifery related issues. I too am 
concerned about world events, but I would appreciate this forum be kept to 
midwifery related topics. Time available on-line is short for most 
people. I do not want to have to withdraw from the list because my time is 
'spent' on other matters (trivial AND important) that I can't afford while 
on-line. 

Kind regards to all.

Lois WattisRegistered Midwifewww.birthjourney.com  

BEGIN:VCARD
VERSION:2.1
N:Wattis;Lois
FN:Lois Wattis
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20030217T122613Z
END:VCARD

Re: [ozmidwifery] rash

[Lois Wattis]

Title: URGENT Advice Required



Jo, this is most likely a reaction to the Fentanyl 
which is the opioid pain killer part of the epiduralsolution. It is 
a very common side effect of epidural analgesia, and usually passes without 
treatment. Regards, Lois


  - Original Message - 
  From: 
  Jo 
   Dean Bainbridge 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, February 11, 2003 6:17 
  PM
  Subject: [ozmidwifery] rash
  
  Can anyone tell me if a rash like Justine 
  described is common with birthing women? I had a HORRIBLE rash just like 
  Justine described and at first they put it down to me being allergic to the 
  pain killers they gave me after the cs and then I was told it is a common 
  reaction to the epidural. The birth was rather traumatic (to say the 
  least!) and I read with interest that others have suffered rashes related to 
  emotional state; just interested!
  Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
  6918birth with trust, faith  love...
  
- Original Message - 
From: 
Justine Caines 
To: OzMid List 
Sent: Tuesday, February 11, 2003 7:26 
PM
Subject: [ozmidwifery] URGENT Advice 
Required
Hello AllI have a friend who had a 
bub on Saturday and since she was in labour on Friday she has had a severe 
heat type looking rash (GP/Ob) says it’s pregnancy something or other and 
did not offer much in the way of remedy. It is very red and raised and 
itchy like hell, also the heat affects it (and we live in Nthrn NSW!) she 
has large patches over abdo/ top of legs etc.Antihistamines are out 
of the question with breastfeeding I believe, the babe is feeding 
beautifully so it would be great to help with the rash so Mum does not 
consider giving up BF. She is currently bathing in an oatmeal product 
and applying a soothing cream with oatmeal in it.Any super 
remedies??Thanks a bunchJustine 

Re: [ozmidwifery] Touching babes at birth......

[Lois Wattis]

Well said, Tina. I have had the same experiences 
as you describe.OccasionallyI've encountered a woman who just 
does not want to feel her baby's head when encouraged to "find"it 
there.Many women kind of need 'permission' to do what they perceive 
to be the midwife's job at the moment of birth. This can be discussed 
before the birth, or during the labour, and with preparation their response is 
spontaneous. It can also be the Dad that catches the baby, and that is a 
special bonding event as well. Love Lois


  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, February 09, 2003 9:00 
  AM
  Subject: Re: [ozmidwifery] Touching babes 
  at birth..
  In a message dated 9/02/03 9:57:29 AM AUS Eastern Daylight 
  Time, [EMAIL PROTECTED] 
  writes:
  how many women are willing to touch their baby during the 
process of birthand immediately at the moment of birthing???i 
can see that with much pre education this may be possible. However if 
itis to happen the way you idealistically suggest then perhaps one 
criteriafor in water birthing will need to be that 
women are fully educatedwilling and cooperative in handling her 
baby at the moment of birth.we do have to be careful in the 
asumptions we make about how women may feeland be able to respond at the 
various stages of birthing.RuthHello Ruth and alljust as dangerous is the assumption that women are 
  not interested in touching their babies during birth and to suggest that women 
  need "education" to handle their babes at birthM..Encouraging the 
  woman to touch her baby is a very powerful way of connecting her to the birth 
  process and gives her purpose often when energies are waning for me its 
  about giving the power to the woman to tell me what's going on for her without 
  the midwife having to be invasive...eg: sticking my fingers in...or parting 
  labiawatching perineum's etc...If I feel the need to 'know what's going 
  on' all I often do is just gently ask the woman to tell me what she is 
  feeling...If she has no words to describe it, or says "I don't know"...then I 
  gently encourage her to put her own fingers inside and tell me what she feels. 
  In my experience women rarely refuse to do this when invited to do so and 
  personally I think its how we ask and the context in which we ask it 
  .I have no words to describe the sheer look of amazement and wonder 
  when the woman declares she can feel their babies head just inside.the 
  power, renewed energy and a strong sense of purpose that this gives women is 
  fantasticand birth usually follows very quicklytouch can be really 
  important to if at crowning the women needs some reassurance that all is fine 
  and she is not "splitting apart"encouraging her to feel for herself that 
  she is safe again is very reaffirming for her and she often then lets go and 
  the babe emerges beautifullyoften into her own hand if she desiresthis 
  is when women are truly empowered in birth.and this empowers us as 
  midwives too Yours in reforming midwiferyTina 
  PettigrewB Mid StudentAustralian Catholic University Melb. 
  

Re: [ozmidwifery] Vaccination Information

[Lois Wattis]

I am in need of the same information for a childbirth education class next
weekend. If someone could post info to the list I would appreciate the help
too.  PS - Hi Robyn!!.  Cheers, Lois
- Original Message -
From: Robyn Thompson [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, February 09, 2003 9:44 AM
Subject: [ozmidwifery] Vaccination Information


Does anyone have a collection of websites that give the pro's and con's of
Vaccination.  I do have some but I want to give women a good list of
valuable references so they can be better informed.  Would appreciate any
information you may have.

Robyn

Robyn Thompson

Melbourne Midwifery
Specialist Services  Pty Ltd  (abn 34 007 423 994)
Independent Midwifery Practice

Midwife Practitioner
* Homebirth
* Lactation
* Maternal  Child Health

www.melbmidwifery.com.au
[EMAIL PROTECTED]



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Re: [ozmidwifery] Vaccination Information

[Lois Wattis]

Thank you Darren - exactly what I needed. Kind 
Regards, Lois


  - Original Message - 
  From: 
  Darren 
  Sunn 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, February 09, 2003 11:40 
  AM
  Subject: Re: [ozmidwifery] Vaccination 
  Information
  
  Below are a number of hyperlinks for vacination 
  information
  If these dont work go to :
  http://www.avn.org.au/links.htm
  
  regards,
  
  Darren Sunn
  
  
  Australian Groups:
  
  
  


  

  Vaccination Information 
  South Australia (VISA) 
  AVN Lithgow 
  
  Australian Vegetarian 
  Society (Great Magazine!) 
  

  Immunisation Awareness Society (IAS) 
  Vaccination Information 
  Service 
  American Pro-Choice Groups
  The American groups are growing in number which 
  is wonderful to see. If anyone knows of a group which has a website but 
  which is not listed below, please email me at [EMAIL PROTECTED].
  
  


  

  Vaccination Liberation 
  Pennsylvania Parents for 
  Vaccine Awareness 
  Vaccine Information and Awareness 
  Vaccination 
  Alternatives 
  People Advocating 
  Vaccine Education (PAVE) 
  Well Within 
  Natural Immunity Information 
  Network 
  Shirley's 
  Wellness Page 
  Vaccination 
  Policy FAQ 
  Informed 
  Parents Vaccination Homepage 
  What 
  You Don't Know Could Hurt Your Children - Joan Batista 

  

  National Vaccine Information  
  Centre (NVIC) 
  Citizens 
  for Healthcare Freedom 
  Concerned Parents 
  for Vaccine Safety 
  Parents Requesting Open Vaccine 
  Education (PROVE) 
  Global Vaccine Awareness League 
  (GVAL) 
  The 
  Preventorium 
  International Advocates for 
  Health Freedom (IAHF) 
  Missouri 
  Citizens Coalition for Freedom in Health Care 
  Think Twice Global Vaccine 
  Institute (Neil Miller) 
  Arizona Vaccine 
  Information Network - Incredible amount of information! 
  
  Canadian 
  Pro-Choice Groups
  
  


  

  Freedom 
  of Choice in Healthcare Canada 
  
  European 
  Pro-Choice Groups
  Ditto what I said above - I am sure there must be 
  more European Pro-Choice websites. If anyone can forward the 
  information, that would be much appreciated.
  
  


  

  French National 
  League for Freedom in Vaccination 
  Dutch Pro-Choice Vaccination League 
  Nederlandse Vereniging Krtisch Prikken (in 
  Dutch) 
  

  Finnish pro-choice organization - 
  Rokotusinfo ry (in Finnish) 
  VacciNetwork (Italian and 
  English) 
  Vaccination Awareness Network 
  UK 
  WHALE Vaccine Site 
  
  Medical 
  Pro-Choice Links
  Not all doctors are pro-vaccination - and not all 
  doctors believe that people should not be allowed free choice. The sites 
  listed below are all run by medical doctors who support our rights to choose 
  what is best for our families.
  
  


  

  Dr. 
  Bart Classen - Vaccine Safety Website 
  American Association of 
  Physicians  Surgeons (AAPS) 
  

  Center 
  for Complex Infectious Diseases 
  Dr. Michel 
  Odent 
  Orthomolecular Medicine 
  Dr. 
  Rebecca Carley (A doctor facing loss of her medical license for 
  not vaccinating!) 
  Autism
  Autistic spectrum disorders have been linked with 
  vaccination for many years.  These links will give you an idea of what 
  autism is, what treatments are being used to try and help autistic children 
  and adults and how families are coping with autism.  
  
  


  

  Center for the Study of Autism - 
  Recommended! 
  Society for 
  the Autistically Handicapped 
  Autism Research 
  Unit 
  Autism Site 
  Vaccination? 

  Unlocking Autism 
  Autism Conference 
  Autism: A Unique Form of 
  Mercury Poisoning 
  Autism 2000 - 
  A Tragedy 
  Medicine for Autism Today 
  Mercury in 
  Vaccines 
  

  The Autism Autoimmunity 
  Project 
  Autism Resources -  
  Includes Autism FAQ 
  NeuroImmuno Therapeutics Research 
  Foundation 
  Intestinal 
  Permeability: MMR and Interferon Gamma 
  Autism Research 
  Monographs - Recommended! 
  Beyond Autism -by a 
  parent - for parents 
  

Re: [ozmidwifery] re Dutch midwifery practice

[Lois Wattis]

Here, Here!!!
Lois

  - Original Message - 
  From: 
  Judy Giesaitis 
  To: Ozmidwifery (E-mail) 
  Sent: Thursday, February 06, 2003 7:31 
  AM
  Subject: [ozmidwifery] re Dutch midwifery 
  practice
  
  "We are seen as a separate profession with equal status 
  to a GP or an obstetrician," says Sue Thompson, a British midwife who is 
  working in Amsterdam. "Our judgment is respected."
  
  I can just hear this 
  prayer coming from women all over Australia
  Oh lord, please have 
  these midwives come and beat some sense into those who need 
  it!!
  
  love to all 
  Judy
  

Re: [ozmidwifery] Reasons to avoid a natural birth

[Lois Wattis]

Which ever way you look at it, it's a LAME EXCUSE!
Sigh
Lois
- Original Message -
From: Deliverywoman [EMAIL PROTECTED]
To: [EMAIL PROTECTED]@dodo.com.au
Sent: Sunday, February 02, 2003 12:58 PM
Subject: RE: [ozmidwifery] Reasons to avoid a natural birth


Having posted this message to a number of groups that I am in regarding
Claudia's 'foot', there was a reply from someone in America that commented
on attending a birth in hospital of a MVA victim whom delivered her baby
vaginally WITH A fractured pelvis...

The wonders of live.and birth

--
Yours in Childbirth and with the Love of Friendship
Rita
«¤?¤ÐÈ£ÏVÊR¥·WÓMÄѤ?¤»

Mother of David - 13, Haydie - 11, Alysha - 10 and Baby Tyler 8 months
Registered Nurse, Student Midwife (currently in hiatus - due to
injury), Aspiring CBE and Doula



- Original Message 
From: Ken Ward [EMAIL PROTECTED]
To: [EMAIL PROTECTED] [EMAIL PROTECTED]
Subject: RE: [ozmidwifery] Reasons to avoid a natural birth
Date: 02/02/03 13:25






 Just a
 suggestion. Claudia Schiffer as a supermodelnbsp;is a long-time member of
the
 ultra thin. Perhaps it was discovered when she hurt her foot that her
bones are
 brittle from years of too little body fat.nbsp; (Studies have shown that
women
 with too little body fat go into a form of menopause; periods stop amp;
bones
 lose calcium.)nbsp; Anyone care to speculate on the effect of trying to
go
 through labour with a brittle pelvis?
 nbsp;
 Ken
 Ward

   -Original Message-From:
   [EMAIL PROTECTED]
   [mailto:[EMAIL PROTECTED]]On Behalf Of Andrea
   QuanchiSent: Saturday, February 01, 2003 10:51 PMTo:
   [EMAIL PROTECTED]: Re: [ozmidwifery] Reasons to
   avoid a natural birthI too read this and couldn't work
   out the association between hurting her foot a year ago and needing a
c/s?
   Surely that sounds stupid even to the person who said/wrote it.Andrea
   QuanchiOn Saturday, February 1, 2003, at 02:48 AM, [EMAIL PROTECTED]
   wrote:


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Re: [ozmidwifery] Thrush in Babe's Mouth?

[Lois Wattis]

Hi Joy - good to hear from you via ozmid.  You have been in my thoughts
because of the fires in Bright.  Hope all is well with you and yours.  Could
you share your handout with the group?  Could be useful to all.  Best
wishes, Lois

- Original Message -
From: Joy Cocks [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Monday, February 03, 2003 5:03 AM
Subject: Re: [ozmidwifery] Thrush in Babe's Mouth?


Dear Jo,
It certainly sounds like thrush.  I've just finished work (night duty), so
not thinking too well just now!  If you like, I could send you at attachment
of the handout on thrush that I've put together, although it's mostly for
breast/nipple thrush it may have some useful ideas for your neice and her
mum.
Cheers,
Joy

Joy Cocks RN (Div 1) RM CBE IBCLC
BRIGHT Vic 3741
email:[EMAIL PROTECTED]
- Original Message -
From: Jo Slamen [EMAIL PROTECTED]
To: Midwifery List [EMAIL PROTECTED];
[EMAIL PROTECTED]
Sent: Sunday, 2 February 2003 16:11
Subject: [ozmidwifery] Thrush in Babe's Mouth?


 Seeking your help again...

 Have just farewelled my little 9-week-old niece and her parents after
their
 stay overnight here.  I have never seen it before, but I suspect strongly
 that the little one has thrush.  She has a terribly sore and red/inflamed
 bottom and during an upset phase I took her to the window to try and
 distract/calm her and whilst she was crying I noticed she almost appeared
 almost to be getting a tooth or two on her gums - although not quite in
the
 right place - I then noticed three or four other small white marks and
dots
 on the roof of her mouth and inside her cheeks - didn't see her tongue
very
 well so not sure if any spots there.  I have never seen oral thrush before
 but have presumed this is it??

 There hasn't been any antibiotics for her or her mother and her mother
 doesn't have any symptoms of thrush (and she does know them as has had
 vaginal thrush before) although she mentioned a sore-ish throat on and off
 of late.

 I proclaimed to her parents I suspected thrush in the little one and we
 immediately dosed mother with probiotic powder and sent father out to get
 acidophilus to take home with them.

 Does anyone know of any wonderful natural (or other, if it comes to it)
 treatment for babe and mother, as we really don't want mother ending up
with
 thrush of the nipples and associated ongoing complications.

 They're hoping to see a GP tomorrow to confirm - I know they will want to
 minimise their use of pharmaceuticals as much as they can - but they do
need
 to treat this - so seeking your help.

 Thank you.

 Jo Slamen

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Re: [ozmidwifery] vasospasm

[Lois Wattis]

Dear Lieve, thank you for sharing this article.  Thank you also for the one
you posted recently on waterbirth.  It is great to hear about published
research confirming the benefits of waterbirth.  This is particularly useful
when the original published information was in another language.  When I do
research I usually only search in english data bases, so sharing this with
the list is particularly helpful.  Kind regards, Lois

- Original Message -
From: Lieve Huybrechts [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, February 02, 2003 7:40 PM
Subject: Re: [ozmidwifery] vasospasm


Dis is a good article about the subject
http://www.gp.org.au/cls/raynaud.html
Greetings
Lieve



On 01-02-2003 23:42, Cheryl LHK [EMAIL PROTECTED] wrote:


 Hi, sorry if this rather disjointed

 First baby, fed 12 months, no probs apart from thrush in early weeks

 Second bub - fed 4.5 months, had horrendous nipple vasospasm.  was a
winter
 baby.  Went to BF clinic, were happy with attachment, although tended to
 'slip off' and make things worse.  Was sad to finish, but incredibly
 relieved at the relief of pain once stopped feeding.  Fed with pain for
 about 2.5 months of that 4.5 months.  Mastitis x 3 in that period.

 Third bub - currently 4 weeks.  Feeds better from one side, although
 managing both OK.  Need to be careful with attachment though.  I feel like
I
 am getting twinges of the same sort of vasospasm pain, although nipples
are
 discoloured at times, no damage, cracks etc.  Have been obsessive about
 emptying breasts etc so no reoccurance of mastitis.

 Is vasospasm likely to get worse when we get out of the summer months do
to
 colder climatic conditions?

 Have looked in the textbooks etc, but have people got any other ideas for
 what to do - natural meds etc.

 Sorry for disjoint-ed-ness!  Have hubby rocking the baby, and the other
two
 - well, you know what toddlers get up too!

 Cheryl




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Re: [ozmidwifery] Info on Rhesus negative births

[Lois Wattis]

Title: Message



What a great, first-hand-experienced response. 
Thank you for sharing it with the list, Belinda. Well done with 
Darcy. It shows how technology and mother's instinctsCAN work 
togetherfor the best outcomes it they're allowed. Best wishes, 
Lois
 

  - Original Message - 
  From: 
  Belinda 
  Brustolin 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, February 03, 2003 7:46 
  AM
  Subject: Re: [ozmidwifery] Info on Rhesus 
  negative births
  
  Hi, my 5 month old born with severe ABO 
  incompatability had SBR of 480 at 24 hours of age, off to NICU immediately for 
  treatment which included exchange transfusion, however through out all of this 
  I managed to breastfeed (with 12 hour break for the transfusion and 
  immediately afterwards), Darcy was happy to feed although a little sleepy at 
  times. Howeverstaff seemed quite content to tube feed him and IV glucose 
  supplement feed him, so I was a little pushywith breast feeding and 
  turned up every 2-3 hours to do so and under the guise of wanting a cuddle 
  -just happened to try him on the breast! When I got him back after 5 
  days he soon settled intonormal newbornfeeding behaviour. I feel 
  for your friend as is so recent for me, encourage her to visit every couple of 
  hours and be a little authoritarian about wanting to breast feed!I am 
  sure if I hadn't been a midwife or an experienced mother (Darcy is number 4) 
  things would have been different. Those feeds were very meaningful to me in 
  early maternal care and protection of my sick baby. Regards Belinda Brustolin, 
  Darwin.
  
  
  
  
- Original Message - 
From: 
Wayne 
and Caroline McCullough 
To: [EMAIL PROTECTED] 

Sent: Saturday, February 01, 2003 9:39 
PM
Subject: [ozmidwifery] Info on Rhesus 
negative births

A friend of mine 
had her baby by C-Section this week due to problems resulting from her being 
RH negative and her husband being RH positive. She was 37 weeks and the baby 
has been in NICU since late last night because of severe jaundice (my guess 
is that's from the operation). She has not been able to hold her baby or 
breastfeed yet and has had massive headaches, poor thing but I think she is 
expressing milk so that's a good sign. This is her second baby but I think 
she also had a C-Section with the first.

We did talk a 
lot about her birthing options before the baby was born but I am not 
educated enough on Rhesus factors to know whether or not her C-Section and 
the separation from her baby was indeed necessary. Does anyone know more 
about this? I am not going to go and tell her now that it was not necessary 
if that was the case but I would like to know for my own personal 
knowledge.

Am planning on 
calling her tomorrow to see how she is getting on (and how baby is getting 
on). She is at the Mater Mothers Hospital in Brisbane.

Cheers,

Cas 
McCullough

Re: [ozmidwifery] Reasons to avoid a natural birth

[Lois Wattis]

Maybe it was a case of that rare condition "Feetus 
Firstus" ??? 

More like 
"body-imageus-firstus", me thinks. 
Lois


  - Original Message - 
  From: 
  Debby 
  M 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, February 01, 2003 6:34 
  AM
  Subject: Re: [ozmidwifery] Reasons to 
  avoid a "natural" birth
  
  
  
  I just had another thought - would a baby that is going to be born via the 
  foot be a FOOTUS (foetus) :-P
  Debby
  
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Re: [ozmidwifery] test mail

[Lois Wattis]

YEP!!
Cheers, Lois

  - Original Message - 
  From: 
  Lynne 
  Staff 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, January 29, 2003 8:29 
  PM
  Subject: [ozmidwifery] test mail
  
  just testing to see if my mail 
works!

Re: [ozmidwifery] FW: [HBAC] VBAC after 5 c/s

[Lois Wattis]

CONGRATULATIONS TO YOUR FRIEND, CAS!!!
VBAC is a very special triumph.  Hooray for woman power!
Kind regards, Lois


- Original Message -
From: Wayne and Caroline McCullough [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Thursday, January 23, 2003 7:50 AM
Subject: [ozmidwifery] FW: [HBAC] VBAC after 5 c/s


I just had to forward this on from my other mailing list [HBAC] on Yahoo
Groups. This just goes to show how some women are just so amazing and
how some doctors are so ignorant!

Ps: friend of mine had her first VBAC yesterday, at home with MW and DH
at 37 weeks after about 7-8 hours active labour. Baby weighed in at
7lbs. We are so proud of her!

Cheers,

Cas McCullough

-Original Message-
From: Leilah McCracken [mailto:[EMAIL PROTECTED]]
Sent: Thursday, 23 January 2003 9:35 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: [HBAC] VBAC after 5 c/s


Hi list- women's bodies are amazing (as are at least a few OBs). I had
to put this on my site. Leilah

---

An OB/GYN Thread that Ended in VBAC

-with thanks to Angela Horn of homebirth.org.uk. Find the original posts
from this 1996 thread beginning here-
http://forums.obgyn.net/ob-gyn-l/OBGYNL.9603/0647.html



Would be interested in response from the list to a request presented to
me last week.

The pt is 37 y.o. G6 P5 [sixth pregnancy, fifth child] with five prior
low-transverse c/s. 1st section done for CPD with delivery of 4 lb
infant. 2nd section elective repeat. 3rd section elective repeat.
4th section after failed VBAC. c/s performed after 45' in second stage
with final Dx of fetal heart rate abnormality and persistent OP 5th
section performed after pt had experienced 24 hr of ROM [rupture of
membranes] without labor (records indicated hesitancy to attempt
induction with four prior uterine
incisions)

She is VERY motivated to attempt VBAC. My inclination is to go for it,
but I'm not sure about augmentation (even with IUPC) if failure to
progress occurred.

I'll be anxious to hear your opinions.

Terri Rosenbaum, M.D.

==

Terri:

I would let her attempt a VBAC, and I would augment her if necessary. I
don't know anything about your hospital and facilities, but the usual
VBAC guidelines apply.

I have always thought that most ruptures occur during the 2nd. stage of
labor. In addition, she could have a uterine rupture with augmentation
as a G5, regardless of the prior C/S history.

Patrick S. Pevoto, M.D., FACOG



A contraindication to pitocin is a contraindication to contractions. If
you are willing to allow spontaneous contractions, then what is wrong
with oxytocin induced contractions? A contraction is a contraction. The
only diference is that you are doing something to bring about the
contraction with the oxytocin. If properly administered and watched,
there should be no more problem with pitocin induced contractions. [Note
from Leilah McCracken, site editor: what an idiot!!]

With this patient, if I were to allow her to labor or to be augmented, I
would be there with my hand on her abdomen and probably watching the
Intrauterine pressure monitor as well..

R.Daniel Braun, MD
Clinical Professor
Indiana U. School of Medicine



At 3:23 PM 31/3/96, R. Daniel Braun wrote:

A contraindication to pitocin is a contraindication to contractions. If

you are willing to allow spontaneous contractions, then what is wrong
with oxytocin induced contractions ? A contraction is a contraction.
The only diference is that you are doing something to bring about the
contraction with the oxytocin. If properly administered and watched,
there should be no more problem with pitocin induced contractions.

But you are interfering with the normal course of events and then if
somethign goes wrong you have to accept responsibility.

With this patient, if I were to allow her to labor or to be augmented,
I would be there with my hand on her abdomen and probably watching the
Intrauterine pressure monitor as well.

I notice that you didn't write how you would deliver. Here she would
get an elective Vaginal Bypass and we'd really strongly try and convince
her to sign for T/L [trial of labor- TOL].

Dr. Eberhard W. Lisse



I would not offer this patient a trial of labor for many reasons
including liability concern.

Douglas Krell MD



I do a lot of VBAC yet without any data to back me, I would recommend
repeat C/S in this case. She's already had a failed VBAC as well as her
fifth C/S where someone told her it was best to not labor. There's a
good chance you could prove that MD wrong, but there is also a chance
you could prove him right. Chances are she'd do fine with a VBAC, but I
think you are out on a limb if something bad happens, and bad things do
happen. Be happy with a healthy baby and do the safe thing. If you do
elect to proceed with TOL, I would give her a real TOL with pit and all.
Watch closely, stay in the hospital, probably in the room. Good luck.

Mitch Nudelman

Re: [ozmidwifery] Pinnards v's dopplar

[Lois Wattis]

Dear Mary and Ozmid Listers -
I agree the Midwifery Today quote is pertinent to the 
discussions about listening...
I'd like to add this quote, which I've shared 
before.
"Progress is impossible without 
change:
and those who cannot change their 
minds
cannot change anything" George Bernard 
Shaw.
Food for thought... Regards, Lois

 Original Message - 

  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, January 23, 2003 9:30 
  PM
  Subject: Re: [ozmidwifery] Pinnards v's 
  dopplar
  
  Quote of the Week From Midwifery Today seems pertinent to this 
  discussion: MMWe who seek to assist childbirth using the age-old art 
  and craft of midwifery must be willing to open our minds to discussion of what 
  is truly useful to women and what may be unhelpful, especially when used 
  routinely.-Sara Wickham

Re: [ozmidwifery] a good journal

[Lois Wattis]

Hello Gretta, I would suggest MIDIRS and/or The Practising Midwife - a UK
Journal.  Good luck with your studies.  Kind Regards, Lois Wattis, IPM, W.A.


- Original Message -
From: Gretta Harris [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, January 05, 2003 5:35 PM
Subject: Re: [ozmidwifery] a good journal


Hello all,
I am fairly new to this wonderful list and have just got a question
about a good journal to subs*cribe to. I am a midwifery student at
Aust. Catholic Uni., and I have just had my birthday and for my
birthday I am either going to get a journal sub*scription or some new
books. I am not sure which yet but I thought I would get some advice
on journals. I was thinking about MIDIRS? ACMI journal? others
Anyone got any advice -would love to hear or on the other hand ideas
on any good 'new to midwifery' books. bit of an openended question.
Thanks, Gretta



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Re: [ozmidwifery] DISHEARTENED ANGRY AND ASHAMED

[Lois Wattis]

Dear Sue, I know (too well) what you are feeling, and my heart aches for
you.  Congratulations on a heroic birthjourney travelled together.  The
woman involved will be forever indebted to you for your courageous support
in a most unhospitable environment.  Rest, regather your strength.  Email me
off-list if I can be of ANY help in ANY way.  Love to you, Lois

- Original Message -
From: Sue Cookson [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, January 05, 2003 12:27 PM
Subject: [ozmidwifery] DISHEARTENED ANGRY AND ASHAMED


Hi all,
Am writing my last missive to this list but would love some replies before I
sign off.

I was in attendance at a Christmas day birth.
41 week  34 year old primip, everything normal in pregnancy, but endured
severe pain in early labour and was unable to 'break through' this. So, 24
hrs after SRM, and 12 hours of severe pain, 3 cms and needing help. Light
mec with some tachchardia.
Arrival at hospital at 7.30 am
First midwife (older and 'very experienced') declared baby to be either
breech or OP. Wee in this cup she demanded to a woman who was screaming in
pain. Lie here then and examined her through a contraction ...probably OP
...
Next came the Resident who asked the woman how tall she was. 5'2 was the
reply - Well your husband had a big head so there is probably disproportion,
and baby will not fit through.
Our request was simply for an epidural for pain relief. Next doctor arrived,
the registrar who said  I will order an epidural, a syntocinon drip and
antibiotics (the latter because she was prolonged rupture of membranes).
We just want pain relief was her answer - no  to routine antibiotics and
routine synto. So what are you going to do, he asked, just lie about all
day?
Next midwife on duty had been an independent midwife for 10 years. She
repeated the request about 10 times to have synto set up - this with a baby
whose heartrate was incredibly variable, and whose contractions had remained
very strong throughout. Fresh mec appeared on and off.
Catheterised with a bag against our request - we were happy for the catheter
to be inserted and removed, but not left in. I can't take it out, says the
ex homebirth midwife, because I might need to catheterise you again.
To cut a long story short, all we asked for was 4 hours of pain relief
followed by a period of being active, maybe cutting down or out the
epidural, and assessing progress. Such a big request?? ( I had experienced a
similar situation only a few weeks before with a wonderful outcome of baby
being born vaginally and home 3 hours later - same hospital, next door room)

The ex homebirth midwife said she had never seen anyone up and active with
an epidural in, and then said the woman failed the 'test'to be able to
manage that (left leg was pretty heavy). She could not take responsibility
for the woman to be active.
We negotiated our way through that ... ambulate at our own risk...
Hours later progress was negligible, so we asked for a few more hours, being
hassled the entire way about oxytocics.
So about 12 hours after admission there, we agreed to a c/section after no
progress. We negotiated a lotus birth and that was agreed to.
So baby born 8.30 pm Christmas Day by epidural c/section.
Apgars 9/9 but baby held at the resus table for 13 mins anyway - after being
told that if she was 'pink and screaming' she would go straight to mum. baby
then to mum for a brief 'look' then off to wherever.

Told she was a little off colour - this followed by a decision to put babe
in special care for 4 hours for observation. Luckily lovely midwife had come
on duty and took baby out of special care and in to dad's arms until mum was
out of recovery and back in her room. Initially told dad could stay there
(single room) but when requested a mattress, told dad had to go home (45
mins away) Lotus birth presented a major problem to the staff, who told mum
it put them at risk, and in fact wrapped placenta up in industrial waste
bag/ toxic waste plastic bag.
Second morning slight redness at umbilicus, with streaks up baby's tummy.
Baby whisked off to special care nursery and on IV antibiotics. NOTHING has
shown up on  skin swabs and blood tests done at birth or since. Cord cut off
with midwives telling mother how dirty it was ...

There are a lot of things I have not included here - the looks, the
inferences, the queries about who the support people were, the obs who came
in pointing at us asking our names, the sighs, the comments to the mother
about 'your type' (funny eh, this couple both work...)

This woman was made to feel she could not achieve normal birth, her baby was
too big for her, her baby was in a bad position, her requests were
unreasonable, her decisions were from poor information, her lotus birth was
'dirty' and a health hazard.

She gave birth to a 7lb 5oz baby who was presenting OT. No obvious reasons
for failing to get past 4 cms.

I am totally disheartened at how little movement the 'normal/natural' birth

Re: [ozmidwifery] Christmas Baby

[Lois Wattis]

Dear Rosemary - seasons greetings, and congratulations 
on your Christmas Day birth. I sharedthe birth of a baby 
boywith a lovely young couple on Christmas Day last year - really 
special.I attended a long IOL for PEin hospital with a 
clientyesterday (Boxing Day) which culminated in a lovely birth of a baby 
girl around 11pm. Both are very well. Wonderful to hear you have 
assisted at 17 births with your Desert Rose program - what a year, WELL 
DONE! Best wishes, Lois


  - Original Message - 
  From: 
  Rosemary 
   Wayne Weckert 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, December 26, 2002 3:18 
  PM
  Subject: [ozmidwifery] Christmas 
  Baby
  
  Hello all
  Merry Christmas. I was lucky enough to be at the 
  birth of a Christmas Day baby. The day started out with the kids getting up at 
  5:30 am, presents being opened. Then we stopped to have a yummy breakfast. The 
  phone rings, everyone groans, it's a dad whose baby was due 2nd January, 2nd 
  baby. 1st had been late IOL long posterior labour, epidural, episiotomy, 
  heamatoma evacuated under GA 5hrs later etc. etc.so she wasn't keen on 
  going through it again. Anyway I arrived at their house at 0745, all was well, 
  she looked like she was well established, complaining of pressure in the 
  bowel, then came the urge to push. So we all bundled into the car slowly for 
  the ride to hospital, getting there at 0830, beautiful baby boy 3510 born at 
  0910. By the time I finished paperwork I was home at 11 am to get ready for 
  lunch. Then I spent the rest of the day with family and friends. It was most 
  enjoyable. The new family went home from hospital at 1600. I'v visited today 
  and they're really happy with how they went.
  I've been really lucky this year, with 17 births, 
  and all have come when I've been available. I read something once about mums 
  going into labour whenthey know the midwife will be available. Has 
  anyone ever had more than one mum labouring ata time?
  Anyway thought I'd share a central Australia 
  story with you all.
  Regards Rosemary Weckert
  Project Desert Rose Midwife
  Alice 
Springs

Re: [ozmidwifery] NO CASE TO ANSWER!

[Lois Wattis]

Dear Jan, thank you for sharing this news.  It's wonderful for Maggie, and
for all midwives who are constantly challenged to keep the faith.  Love Lois

- Original Message -
From: Jan Robinson [EMAIL PROTECTED]
To: ozmidwifery [EMAIL PROTECTED]
Sent: Thursday, December 19, 2002 1:04 PM
Subject: [ozmidwifery] NO CASE TO ANSWER!


Dear list

With a sigh of relief I heard some good news today that led me to give a
heartfelt cheer for independent midwifery, the clients of independent
midwives and especially for Maggie Lecky-Thompson who has always been a
champion of independent midwifery.

Today the court decreed that Maggie had NO CASE TO ANSWER to the allegations
that she was continuing to hold herself out to be a midwife.

I hope Maggie has her merriest Christmas ever as she soaks up the abundant
love and support that her family provides.

Best wishes from her friends and colleagues of ASIM and HBA.

Jan Robinson


__
 Jan Robinson Phone/fax: 011+ 61+ 2+ 9546 4350
 Independent Midwife Practitioner e-mail: [EMAIL PROTECTED]
 8 Robin Crescent www:   midwiferyeducation.com.au
 South Hurstville  NSW  2221  National Coordinator, ASIM
__


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Re: [ozmidwifery] FW: good websites to visit

[Lois Wattis]

Hi Julie - good project!!! Hope www.birthjourney.com makes it onto the 
top 10 !! Love Lois

  - Original Message - 
  From: 
  Julie 
  Clarke 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, December 18, 2002 11:52 
  AM
  Subject: [ozmidwifery] FW: good websites 
  to visit
  
  
  
  Hi 
  everyone
  I 
  am currently making a list of good websites to visit for expectant 
  parents.
  Do 
  you have any suggestions for me to add to the 
  list?
  Of 
  course Birth 
  International is already on there J
  I’m 
  after website addresses and just one sentence about what is found at that 
  website.
  Covering 
  educational resources for Pregnancy, labour, birth, breastfeeding, baby care 
  and parenting.
  I 
  will be delighted to share my list with you when I have a good collection, 
  probably next week or so.
  
  Hug 
  to all
  
  Julie 
  Clarke
  Childbirth 
  and Parenting Educator
  Transition 
  into Parenthood
  9 Withybrook 
  Pl
  Sylvania NSW 2224
  T. (02) 9544 
  6441
  F (02) 9544 
  9257
  M. 0401 265 
  530
  email 
  [EMAIL PROTECTED]
  

Re: [ozmidwifery] Physiological Third Stage

[Lois Wattis]

Hi Lynne - yes, go ahead and use whatever you 
like. It's all referenced, and largely based on the info from the AIMS 
publication "Delivering your Placenta". Best wishes for Christmas and the 
New Year. Lois 

  - Original Message - 
  From: 
  Lynne 
  Staff 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, December 13, 2002 2:57 
  PM
  Subject: RE: [ozmidwifery] Physiological 
  Third Stage
  
  Hi Lois - many thanks for sending me the article. If it is OK with you 
  I will use bits of it in antenatal classes (acknowledging you as the 
  authorof course!). Have a wonderful Christmas - thanks again - 
  Lynne
  
-Original Message-From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED]]On Behalf Of Lois 
WattisSent: Thursday, 12 December 2002 9:38 AMTo: 
[EMAIL PROTECTED]Subject: Re: [ozmidwifery] 
Physiological Third Stage
Dear Jo - if you send me your snail mail details 
I'll post you a copy. Looking forward to meeting you in the new 
year. Cheers, Lois

  - Original Message - 
  From: 
  JoFromOz 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, December 06, 2002 9:24 
  AM
  Subject: Re: [ozmidwifery] 
  Physiological Third Stage
  
  Fantastic Lois!
  I have never even seen a physiological 3rd stage 
  :(
  
  Jo
  
  --
  Babies are Born... Pizzas are Delivered.
  
- Original Message - 
From: 
    Lois 
Wattis 
To: [EMAIL PROTECTED] 

Sent: Friday, December 06, 2002 
11:22 AM
Subject: [ozmidwifery] 
Physiological Third Stage

Dearlisters and lurkers, 
This is to let you know that I have now completed a 
paperdetailing the presentation I did at the Birth Issues 
Conference in Noosa on the subject of Physiological Third Stage. 
Itcan be viewed on my website www.birthjourney.com under the 
THIRD STAGEbutton at the side of the home page. If anyone 
would like ahardcopy of this, or "The Third Stage Maze" which was 
published in the Practising Midwife in 2001 please send me your snail 
mail details and I'll post them to you. (I suggest you contact me 
directly withyour personal information rather than via the list -- 
[EMAIL PROTECTED].) 
Best wishes, Lois


Lois WattisRegistered Midwifewww.birthjourney.com  
  

Re: [ozmidwifery] breast/bottle and problems with bottles

[Lois Wattis]

Thanks for sharing this one Judy. It is worth a 
read and downloading for info to parents and hospitals. Cheers, 
Lois


  - Original Message - 
  From: 
  Judy Giesaitis 
  To: '[EMAIL PROTECTED]' 
  
  Sent: Thursday, December 12, 2002 6:21 
  AM
  Subject: RE: [ozmidwifery] breast/bottle 
  and problems with bottles
  
  Have 
  a look at the information in this resource, interesting !!! 
  http://www.health-e-learning.com/breasted_web_articles/JustOneBottle/supplementation_of_the_breastfed.htm
  Judy
  
  
  

Re: [ozmidwifery] Physiological Third Stage

[Lois Wattis]

Dear Jo - if you send me your snail mail details I'll 
post you a copy. Looking forward to meeting you in the new year. 
Cheers, Lois

  - Original Message - 
  From: 
  JoFromOz 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, December 06, 2002 9:24 
  AM
  Subject: Re: [ozmidwifery] Physiological 
  Third Stage
  
  Fantastic Lois!
  I have never even seen a physiological 3rd stage 
  :(
  
  Jo
  
  --
  Babies are Born... Pizzas are Delivered.
  
- Original Message - 
From: 
Lois 
Wattis 
To: [EMAIL PROTECTED] 

Sent: Friday, December 06, 2002 11:22 
AM
Subject: [ozmidwifery] Physiological 
Third Stage

Dearlisters and lurkers, 
This is to let you know that I have now completed a 
paperdetailing the presentation I did at the Birth Issues Conference 
in Noosa on the subject of Physiological Third Stage. Itcan be 
viewed on my website www.birthjourney.com under the THIRD 
STAGEbutton at the side of the home page. If anyone would like 
ahardcopy of this, or "The Third Stage Maze" which was published in 
the Practising Midwife in 2001 please send me your snail mail details and 
I'll post them to you. (I suggest you contact me directly 
withyour personal information rather than via the list -- [EMAIL PROTECTED].) Best 
wishes, Lois


Lois WattisRegistered Midwifewww.birthjourney.com  
  

Re: [ozmidwifery] birthing in dam water

[Lois Wattis]

Dear Frank - I endorse the comments of Mary, Jan, Sally etc.  I'm assuming
you've had extensive experience with water births to come to this
enlightened opinion.  I've never seen a newborn baby so filled with air that
it is like a ball underwater...  in fact, in my text book they have no air
at all until they reach the surface and breath (so gently and beautifully).
Finally, a woman belongs where she wants to be -- if that happens to be a
birthing chair, fine, but NO ONE has the right to say YOU BELONG HERE OR
THERE while birthing.  Have you heard of woman centred care??  Thank God for
caring thinking midwives like Pete (hug, and pat on the back from Lois).
Have a think about it Frank.

- Original Message -
From: Frank Jockel [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Saturday, December 07, 2002 1:10 PM
Subject: Re: [ozmidwifery] birthing in dam water


Hi,
I just have to give my two bob's worth regarding water births... I think
water births are the STUPIDEST idea since the Irish decided to land on the
sun at night.
What happens when you push a ball under water?  Its bouyancy makes it pop UP
  A baby has bouancy too.  So unless the mother is willing to wear a snorkel
and mask and be upside down, pointing her perineum at the surface, the baby
is fighting bouancy and the uterus is fighting bouancy...  stupid.
Get out of the water and onto a birthing chair where you belong and let
Gravity do the work
Water for fish..
Regards,

Frank Jockel

---Original Message---

From: [EMAIL PROTECTED]
Date: Saturday, 07 December 2002 03:41:26 PM
To: '[EMAIL PROTECTED]'
Subject: [ozmidwifery] birthing in dam water

Could people tell me of their experiences with birthing in dam water, we
really don't have enough rainwater on site to use, this dam water is used
for general washing etc it runs through the solar hotwater service but is
quite turbid, yours in midwifery pete malavisi

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Re: [ozmidwifery] VBAC Pamphlet

[Lois Wattis]

Dear Laraine - any chance of a copy of this?? I'd 
like to use it to support my webpage on VBAC which I'm planning to write. 
Plus it would be good to have togive to VBAC women for info when they 
visit their GP/obs. Ta, Lois

  - Original Message - 
  From: 
  Laraine 
  Hood 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, December 06, 2002 1:03 
  PM
  Subject: [ozmidwifery] VBAC 
Pamphlet
  
  Yesterday, when visiting one of my clients who is 
  planning a VBAC, she showed me a pamphlet her Obs had given her (he is pro 
  VBAC obviously). It is a new 'release' from the RCOG for women and is 
  positive toward VBACs!! The pamphlet is quite well written, decent language 
  generally, and points out the PROs and cons. I was impressed. Now, lets wait 
  and see how many of the obs give them to their clients 
Laraine

[ozmidwifery] Physiological Third Stage

[Lois Wattis]

Dearlisters and lurkers, 
This is to let you know that I have now completed a paperdetailing 
the presentation I did at the Birth Issues Conference in Noosa on the subject of 
Physiological Third Stage. Itcan be viewed on my website www.birthjourney.com under the THIRD 
STAGEbutton at the side of the home page. If anyone would like 
ahardcopy of this, or "The Third Stage Maze" which was published in the 
Practising Midwife in 2001 please send me your snail mail details and I'll post 
them to you. (I suggest you contact me directly withyour personal 
information rather than via the list -- [EMAIL PROTECTED].) Best wishes, 
Lois


Lois WattisRegistered Midwifewww.birthjourney.com  

BEGIN:VCARD
VERSION:2.1
N:Wattis;Lois
FN:Lois Wattis
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20021206T002203Z
END:VCARD

Re: [ozmidwifery] taking time off also

[Lois Wattis]

Merry Christmas, Jo --- have a good one and enjoy 
finding your family. I look forward to your return in 2003 - your comments 
alwayscause me to chuckle. Love Lois

  - Original Message - 
  From: 
  Jo 
   Dean Bainbridge 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, December 03, 2002 3:54 
  PM
  Subject: [ozmidwifery] taking time off 
  also
  
  Many of you will give a huge sigh of relief to 
  know that I am officially getting off the soap box for a while to enjoy the 
  chaos which is the rest of my life I am sure that the mountain of ironing 
  that seems to get bigger each week is now a large enough formation to 
  constitute it self as a country in its own right!
  I am ure I have three children somewhere and 
  rumour has it a hubby toobetter do some cleaning and see if it is all 
  true!
  love to all
  merry Christmas and happy healthy safe birthing 
  to all.
  cheers
  Jo Bainbridgefounding member CARES 
  SAemail: [EMAIL PROTECTED]phone: 08 
  8388 6918birth with trust, faith  
love...

Re: [ozmidwifery] Birth Questions

[Lois Wattis]

Dear Jo - it seems answers to your questions have not been forthcoming.  I
waited to see what others thought, but I haven't seen any responses.  Please
don't think this is because no one cares.   It's a bit of a tricky
situation, and hard to be sure (even when it happens before your own eyes).
I think it's possible the lack of amniotic fluid reduced the baby's ability
to reposition and turn from OP to OA, but it's impossible to know for sure.
It may be that your SIL's pelvis shape contributed to the babe's
presentation, or maybe baby descended in a military (deflexed) position.  It
sounds like you supported her very well, and I understand how disappointing
it is when the baby doesn't come out the way everyone hoped.  9lb 10oz is a
really big baby - I'm assuming it was her first. Thankfully they are both
OK.  Continue to offer your support and listen to her cues -- it may take
months, even years for her to reveal her inner feelings about the birth
experience to herself, let alone to others.  Be assured this birth
experience does not necessarily mean the same thing will happen again with
future labours.  I hope this is some help to you all.  Best wishes, Lois
- Original Message -
From: Jo Slamen [EMAIL PROTECTED]
To: Midwifery List [EMAIL PROTECTED]
Sent: Monday, December 02, 2002 2:35 PM
Subject: [ozmidwifery] Birth Questions


Dear List,

I am a lay member of the list.

Last Wednesday I supported my SIL and brother (SIL also happens to be my
best pal) in labour with their first baby.  I guess I'm hoping to de-brief a
bit here.

Cate had a good preconception preparation, a healthy pregnancy and wonderful
preparation for birth attending Lina Clarke's Active Birth workshop in about
September-ish.

Cate was induced by amniotomy last Wed. morning due to postdates, and
laboured under her own steam beautifully, and without pharmacological
interference, to feeling pushy at around 4pm.  Baby was posterior - there
was no back labour.

Pushing was yielding no appearance - or advancement after around an hour,
and upon examination baby described as in deep transverse arrest.  We then
had Cate labouring in a variety of different positions, pelvic rocking,
moving legs etc. to maximise space in pelvis, but to not enough avail.  Doc
tried moving with a vacuum and after around 4-5 contractions (now around
6.15pm) offered that her options were Keillands forceps (although he
mentioned they don't do those anymore) or a caesar.  Beautiful baby Audrey
(9lb 10 oz - Apgars 9  10) born by C-sect at 7.42pm.

I guess I just wonder if the amniotomy contributed to her positioning?  If
there was anything else we could have tried at the time?  It seemed to be
demonstrated quite well to me that given the circumstances of the moment she
was not coming out without assistance, but just wondered what some of your
thoughts might be.

I was annoyed that doc mentioned forceps as an option that apparently wasn't
a viable one (or he considered an irresponsible one - he therefore shouldn't
have mentioned??)

Mum and babe are home today - and despite obviously delays in contact,
surgical trauma to mother etc., babe has begun to put on weight.  Mother
also handling caesar really well (at least for now).

Jo Slamen

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Re: [ozmidwifery] True Knots

[Lois Wattis]

Congratulations on travelling with this woman on her 
journey through the fear barrier, Rosemary. Well done also in 'speaking 
to' the other attending midwife about herremarks which would not have been 
helpful to the woman. It takes courage to challenge colleagues. Many 
have been saying and doing things for many years that are fear inducing to 
parents without realising it.The support you provided to this woman 
will always be remembered. Kind regards, Lois


  - Original Message - 
  From: 
  Rosemary 
   Wayne Weckert 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, November 24, 2002 3:25 
  PM
  Subject: [ozmidwifery] True Knots
  
  Interesting Tere
  I've just come from a birth. 2nd baby. 1st was 
  long posterior and 3rd 4th degree tear. 8 1/2 lb. Se was very fearful of 
  tearing again this time. I felt like I was the keeper of the 
  perineum.
  Anyway today I got a call at 5.45am, she's in 
  labour. 41wks good sized baby, theres not much of her.
  We went into hospital because she had to have IV 
  A/B's for GBS pos, and there was some leaking of clear fluid. Hospital at 
  6.30, IV abs etc. Settled into labour.
  11am came and she was requesting an epidural. VE 
  revealed 8cm pp at station -1. We urged her to use the gas but after 20 mins 
  and no urge to push, we organised an epidural which she had a 1300. She went 
  on to have a slowly birthed baby at 1419 4230gms! with a true knot in the 
  cord. What a lucky baby!someone was looking after him. P.S she sustained 
  a small 1st degree tear not sutured. All the old scarring was really visible. 
  Dad birthed the body with a little help, it was a little tug.
  They are all pleased. The hospital midwife who 
  was helping me was telling her during her labour, her belly looked OP and it 
  was a Large baby!! I spoke to the midwife 
  afterwards and she said she couldn't lie to her. The position had been LOA for 
  many weeks and throughout labour.
  Seeya
  Rosemary Weckert
  Desert Rose Midwife
  Alice 
Springs

Re: [ozmidwifery] What Doctors learn at med school

[Lois Wattis]

Thanks Joanne - I'll be updating it soon. (I keep 
saying that, but REALLY - it's going to happen!) Hope you enjoyed the 
photo gallery -- I love it. Kind regards, Lois

  - Original Message - 
  From: 
  Mrs 
  joanne m fisher 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, November 17, 2002 2:43 
  PM
  Subject: Re: [ozmidwifery] What Doctors 
  learn at med school
  
  Lois,
  Your website is gorgeous.
  Joanne.
  
- Original Message - 
From: 
Lois 
Wattis 
To: [EMAIL PROTECTED] 

Sent: Wednesday, November 13, 2002 9:35 
PM
Subject: [ozmidwifery] What Doctors 
learn at med school


Robyn, your response is so articulate and 
accurate. I think it should be adapted to a "letters to the editor" 
type form and submitted to mainstream and professional printed media for 
publication. I agree entirely with your views - WELL SAID. 
You havedescribed the situation just as I see it. 
Yoursuggestion of enlargingour profile to incorporate an 
Australasian (ieAustralian/New Zealand) approach could also strengthen 
our collective push for birth reform. Best wishes, Lois

Lois WattisRegistered Midwifewww.birthjourney.com  
  

Re: [ozmidwifery] Haemoglobin and ferritin levels

[Lois Wattis]

Haemoglobin is a pigment contained in the red blood cells which enables them
to transport oxygen round the circulation.  It is a compound of the
ferrous-iron containing pigment haem combined with the protein globin.  Each
haemoglobin molecule contains 4 atoms of ferrous iron, 1 in each haem group,
and can unite with 4 molecules of oxygen.  Anaemia is a reduction in the
number of red blood cells, or in the amount of haemoglobin present in them.
Iron deficiency anaemia is the most common type of anaemia, probably related
to poor nutrition, and is aggravated in early pregnancy due to the
physiological haemodilution which occurs. The haemoglobin level (generally)
used to indicate the presence of anaemia is 11.0 g/dl, considered the lower
limit of the normal range (WHO, 1972)  If the Hb level is below 9.0 g/dl
further investigtions such as folate levels and serum ferritin may be
necessary.

Ferritin is the iron-apoferritin complex; one of the forms in which iron is
stored in the body.  Ferritin is the body's major iron-storage protein,
ensuring that iron is readily available when demand is high, and is found in
the liver, marrow and spleen.   Serum ferritin falls in proportion to a
decrease in iron store and is a more reliable test of iron status than
haemoglobin level.  Normal ferritin levels are 10-200 ug/l.   Women who have
low serum ferratin may need supplementation.

The benefit of iron supplementation is now questioned and some studies show
that the routine administration of iron may be superfluous or even harmful.
Levels of haemoglobin traditionally regarded as pathological in the non
pregant woman are in fact associated with good obstetric outcomes.   The
increase in plasma volume is essential to ensure perfusion of the vascular
bed and maintenance of blood pressure and it is suggested that an increase
in Hb may result in a decrease of blood flow through tissues.  Routine iron
supplementation in the absence of clinical indications is unnecessary
The aim of iron supplementation in normal pregant women is not to elevate
their Hb but to refill their iron stores.  A low serum ferritin value is
indicative of depleted iron stores and the need for iron supplementation.
WHO considers anaemia to be present in pregnant women at 11 g/dl or less.
More arbitrary levels may be decided locally and usually range between 10
and 10.5 g/dl. (Sweet, 1997, p549)
Refer to pages 548-553 of Mayes Midwifery for detailed info.
Sources: Mayes Midwifery 12th Edition (B. Sweet); Baillieres Midwives'
Dictionary 9th Edition.
Addit: Large studies indicate haemoglobin concentrations of 9 to 9.5g/dl are
associated with optimal perinatal outcomes (as they reflect good plasma
volume expansion) Odent, 1998, The Practising Midwife, Vol.1, Number 9.


Sue, on the basis of this information, levels of 10 or above for either Hb
or Ferritin do not necessarily warrant supplementation.  The clinical
condition of the woman also needs to be taken into account - is she tired,
lethargic, dark circles under the eyes, pale inner eyelids?  Breathlessness,
especially on exertion, dizzy or faint?  No silent bleeding occurring - eg
haemorrhoids?  How is her diet?  Meat-eater or not? Leafy green veges?
A holistic clinical assessment should accompany diagnostic tests.

Regarding supplementation suggestions -
Many midwives I encounter recommend Flurodix liquid which is a combination
of iron, B  C vitamins and herbs, minerals etc. which seems to work well
for women low on iron, or manifesting any of the above symptoms.  Taking
zinc as well reduces the metallic after taste which some people complain
about from Flurodix.  Ferrum phos 6c (cell salts) helps with assimilation of
dietary iron.

Hope this is helpful.  Best wishes, Lois Wattis

- Original Message -
From: Sue Cookson [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Friday, November 08, 2002 7:02 PM
Subject: [ozmidwifery] Haemoglobin and ferritin levels


Hi,
Needing some help to clarify the difference between haemoglobin levels and
ferritin levels.

Have a local GP who switches between the two readings depending on which one
is lowest and suggests/insists on iron injections.

Levels I've had quoted from some of the women are:

Hb  107
Ferritin   14


another: Hb 109
Ferritin 13

These two women are both 32 weeks.

Just needing clarification and some evidence about the relevance of
both/either readings. Hb levels seem fine to me - a bit foxed by the
ferritin level - one woman had dropped from 120 early pregnancy to 14 now...

Look forward to your fine input,

Sue


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Re: [ozmidwifery] Fw: A Smooth Song

[Lois Wattis]

You've done it again, Rhonda! Thanks for tickling 
our collective funny bones. Cheers, Lois


  - Original Message - 
  From: 
  Rhonda 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, November 06, 2002 7:26 
  PM
  Subject: [ozmidwifery] Fw: A Smooth 
  Song
  
  


  
Some light hearted relief - this had me in stitches. If you 
have time to have a look and have speakers connected it is worth having 
a look at.
Regards
Rhondahttp://www.madblast.com/funflash/swf/PenisSong8.swf 



  

  
  


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Re: [ozmidwifery] Senate PI report

[Lois Wattis]

Dear Barb, I couldn't get this to open.  Any ideas?  Regards, Lois

- Original Message -
From: Vernon at Stringybark [EMAIL PROTECTED]
To: ozmid [EMAIL PROTECTED]
Sent: Wednesday, November 06, 2002 7:04 AM
Subject: [ozmidwifery] Senate PI report


Dear all,

Meg lees office forwarded me this link to the latest Senate Economic
References Committee report on PI insurance, for your info.

Barb

Dr Barbara Vernon
National President
Maternity Coalition

http://wopared/Senate/committee/economics_ctte/publib_insur/report/contents.
htm

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Re: [ozmidwifery] registration

[Lois Wattis]

CONGRATULATIONS, MARILYN !!

A  BREAKTHROUGH for you, and others who will follow.  Well done. Lois

- Original Message - 
From: Marilyn Kleidon [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Sent: Friday, November 08, 2002 5:12 AM
Subject: [ozmidwifery] registration


It seems I have a few of options re work (non of which are caseload - later
I hope) which I am mulling over; BUT my big news at the moment is:

OK!! you have it hot off the internet... I am registered to practise as a
non-nurse, midwife only, in Queensland, Australia as of November 7th, 2002.
You can see this for yourself by going to.

www.qnc.qld.gov.au

then go to online inquiries/registration (or something similar)
then public inquiries

enter my name: Marilyn Kleidon, DOB: Day/month /year :1/12/1951

or

my (non) nurse ID#: QLD020021147

and you will bring up my very public authorisation. he he hah hah!!


I am authorised under S.77(4) Nursing act 1992 to practise as a midwife
only.




Very excitedly

marilyn (non-nurse midwife)

- Original Message -
From: Mrs joanne m fisher [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, November 05, 2002 5:49 PM
Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts?


 I too, think that is an excellant idea Marilyn
 Cheers, Joanne
 BTW have you ended up finding a place to work?
 - Original Message -
 From: Jennifer Semple [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Tuesday, November 05, 2002 4:04 PM
 Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts?


  re: a portfolio of caseload working arrangements
 
  Marilyn, what a great idea!
 
  I think the seed has been planted in many BMid students who never would
  have considered independent practice before they began the course.
  It's great to hear from Jessica that grad dip progams are also
  nurturing continuity of caregiver, etc.
 
  Love, Jen
 
  - Original Message -
  From: Marilyn Kleidon [EMAIL PROTECTED]
  Date: Monday, November 4, 2002 7:07 am
  Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts?
 
   As always Tina you say it all so well. I think we should generate
   a portfolio of caseload working arrangements that have worked or
   are working well for midwives on the list so that those who like
   the theory of caseload but are apprehensive about the practice in
   their lives, can see the reality of the situation.
  
   We can also learn from practices that burn midwives out and/or
   are unsatisfactory to women.
  
   Obviously there are probably as many variations of practice
   arrangements as there are midwives however, for those just
   branching out some well worn paths could be helpful. I think if
   midwives realised that (hopefully) caseload could include
   everything from one birth per month to five or six births a month
   depending on the individual midwife / group of midwives.
  
   marilyn
 
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Re: [ozmidwifery] Obstetric Perception - Your thoughts?

[Lois Wattis]

Dear Jessica,
Congratulations on making the journey through your course - I know what it
takes...  well done!!
Your course and background sound very similar to my own experience.  Just a
few words about the likelihood of consolidating  your midwifery clinical
experience in settings other than caseload/independent care arrangements.

Working in the hospital maternity settings can give you the exposure to the
many variables of individual women's birth journeys which is a valuable
overview to gain.  Remember, antenatal and postnatal care is just as
important as the labour and provides many opportunities to develop listening
and counselling skills, as well as clinical experience.  Working as part of
the maternity team will give you insight into the culture of hospital based
maternity care.  This will help prepare you for the times when you need to
revisit the hospital environment if you need to transfer a woman from home
or birth centre to hospital.  It's helpful to really understand the dynamics
of what's going on behind closed doors when you are supporting your client
who has a problem.  It is very difficult at times working in the system,
but it can also be very rewarding - you can really make a difference to a
woman's experience, and you can influence other midwives' ideas and
practices with your fresh approach.  When the time is right, and the
opportunity arises,  move on to the caseload or independent care
environment... and go for it!!  All experience is valuable, and in this job
you never stop learning.  Good luck!!  I look forward to following your
progress through this list.  Kindest regards,  Lois Wattis (Independent
Practising Midwife, WA)



- Original Message -
From: Jessica Simms [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Monday, November 04, 2002 4:16 PM
Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts?


hello midwives,
I'm a midwifery student at RMIT in Melbourne (postgrad nursing, dare I say
it!) and almost finished and about to get out there.
Just wanted to say a couple of things about this discussion.
Firstly, I can't imagine not working in a continuity of care model and am
dreading to think I may have to work shift work - as a student I've found it
really hard leaving a woman in labour and getting back the next day to find
shes ended up with an epidural and forceps etc, etc.
Also NMAP is a fantastic document and I was so excited when first reading it
to think that I may be able to work in such a way through the public system.
About the high work load - couldnt those with young families take on a
smaller caseload?  I remember vaguely hearing that the Angliss trialed
caseload a couple of years back and had initial criticism from midwives that
it would impinge on personal lives but the same midwives later felt that
this was not the case and really loved working this way - anyone out there
correct me if Im wrong on this?...
I also just wanted to add that the mid course at RMIT, like the bachelor mid
courses, is very much about preparing us for this kind of model.  One of the
lecturers worked as an indep. midwife in New Zealand, and has been very
passionately teaching us all about practicing in this way.  (eg Enkin et al
is now a prescribed text).
Thats it - thanks for listening!
Jessica



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Re: [ozmidwifery] Love of midwifery

[Lois Wattis]

Title: Love of midwifery



Hello Anne
- I KNOW HOW YOU FEEL!
I know how isolated and lonely it can be speaking up 
for women's rights in anobstetric-dominated hospital 
system.
I know how it makes your heart ache to watch women's 
birth efforts being sabbotaged by clock-watching "experts".
I know how helpless you feel, how 
outnumbered.

I endorse Sally's sentiments of support for all 
hospital based midwives who arebrave enough to 
speak out against unnecesary interventions, and violation of birthing women's 
rights. It takes guts. And it can really back-fire on you, which is 
tough to take. 

Robyn's suggestion of setting up a midwifery group 
private practise is worth considering. It doesn't have to be a big, 
full-time business to be effective. You could beginwith childbirth 
education classes which inform, and empower the women. Or an antenatal 
clinic, say one morning a week, free to women, with volunteer midwives -- just 
to give MIDWIFERY advice. You don't need to be an independent practitioner 
or homebirth midwife to run educational classes. Start small, but it WILL 
make a difference. And you willalso beempowered, strengthened 
and encouraged by the women who you help.

A quote comes to mind. It's not directed at you, 
but those around you who fail to see the need for change.

  "Progress is 
impossible without change; and those
  who 
cannot change their minds cannot change anything".
  


  George Bernard Shaw

Keep the faith and love of midwifery.
Kind regards,
Lois


  - Original Message - 
  From: 
  Smith, Anne 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, October 28, 2002 5:34 
  PM
  Subject: [ozmidwifery] Love of 
  midwifery
  
  Dear list, 
  I am a midwife who is very passionate and very for 
  woman centred care. I love being a midwife and can not imagine not being 
  a midwife, but l have become so dissolusioned with the system that it is 
  breaking my heart. I have been a midwife for 5 years and feel that the 
  system (especially where l work in a large country city) which is medical 
  based has not changed. It has actually become worse. Despite being 
  a strong advocate for evidence based practice and presenting this evidence to 
  doctors and management, l have been walked all over, some midwives have been 
  yelled at, 'put in their places' by RESIDENTS and we have basically have our 
  hands tied. The amount of autonomy we have is decreasing, which makes me 
  feel sometimes that all the hospital wants are obstetric nurses. They do 
  not want midwives because they cause too much trouble. Who cares about 
  the women? Management want to make the doctors happy and stuff the 
  midwives. 
  One example, i am really against the use of CTG's 
  in normal pregnancy and labour. Because of one bad outcome, management 
  wants to introduce admission CTGs for all women who present in labour. I 
  produced for them so much evidence based material which actually states that 
  this is not a good idea, but they introduced it anyway. I dont know why 
  l try because nothing worse. I dont know what to do and all my collegues 
  feel like this as well. We need different models of care, we need to 
  take over the care of women in normal pregnancy and birth. I fully 
  endorse NMAP but will it have an effect in my workplace. Will it really 
  change the obnoxious doctors we work with and management who only care about 
  beds and money? Midwives have tried to get a midwives clinic in this 
  town for 11 years, but has been blocked by the doctors (one in 
  particular). We have no free antenatal care except for one midwife who 
  works with aboriginal women (who we also refer white women to). If women 
  only knew what was going on and they care they get from their doctors is less 
  than substandard.
  I hate feeling like this. Women are being 
  ripped off, assulted, and their rights violated, and there is only so much l 
  can do. I do the best l can for these women but l feel that it is no 
  where near enough. It makes me feel like l have a hollow pit in my stomach 
  thinking of coming to work. But l love midwifery, and l know that what 
  ever happens, l need to go on...
  sorry, but l really needed to get this off my 
  chest. 
  MIdwife trying to make a difference 
  Fiona Dunmore NOTICE: CONFIDENTIAL COMMUNICATIONThis e-mail message and 
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[ozmidwifery] Birth Reform Advertisements

[Lois Wattis]

I agree with the ideas shared so far about SERIOUS advertising regarding 
the Push for Birth Reform campaign.It 
needs to beperceived by the public as a 
mainstreamissue, rather than an alternative 
or fringeoption, and TV advertising IS the way to reach 
the"Average"consumer. I thought immediately of Nic 
Edmondstone's work tooit would touch the hardest heart. The 
poster put out by Nic and Vicki is both hard-hitting and sensitive in getting 
the NMAP message andthe power of natural birth out there. Go for 
it! You have my vote. Best wishes, Lois

 
Lois WattisRegistered Midwifewww.birthjourney.com  

BEGIN:VCARD
VERSION:2.1
N:Wattis;Lois
FN:Lois Wattis
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20021027T233802Z
END:VCARD

Re: [ozmidwifery] animals eating Placenta

[Lois Wattis]

Interesting hearing of a mare eating her 
placenta. In my experience, mares don't usually do this. The 
placenta of a horse is EXTREMELY interesting and quite different to humans, in 
that it encompases the whole uterine cavity and the horns of the uterus (up the 
fallopian tubes), and the membranes are joined to it, so when it's all spread 
out for examination it looks like a big pair of trousers -- very wierd by 
comparision to humans. It usually comes straight after the foal, and the 
mare's attention is on the foal - licking it to stimulate and dry it. I'll 
check with some friends who are breeders, and two clients who are vets (and 
birth wonderfully I might add!!) to get some more info. Third stage is 
just SO fascinating, isn't it?? Cheers, Lois

- Original Message - 

  From: 
  Monica Hook 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, October 15, 2002 6:09 
  PM
  Subject: RE: [ozmidwifery] animals eating 
  Placenta
  
  


  
My mare had a foal when I was ateenager and definitely did 
not eat the placenta despite prolonged opportunity to do so; the foal 
was born at night during a storm (of course), she was alone with her 
babyfor 16 hr afterand the placenta was still lying there on 
the ground when the vet arrived the check her out the next afternoon. He 
expected it to be there too, he went looking for it to examine to make 
sure it was intact (grossing me out). She was a most attentive mother 
for the two years until weaning took place, baby led- the mare would 
parade in front of the filly with a full udder but the filly was 
less and less inclined to oblige and finally separated altogether. I was 
quite fascinated as I'd been told by my pro-breastfeeding mother that 
her milk would reduce as the youngster stopped nursing but it didn't 
seem to happen that way. From memory the mare had a few very 
uncomfortable days, who knows, maybe she had a pituitary 
problem...
Monica

  

  
  


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Re: [ozmidwifery] Jean Sutton

[Lois Wattis]

Dear Felicity - you could 
try contacting Jan Cornfoot of Capers Bookstores. www.capersbookstore.com.au 
Jan organised the Birth Issues conference in Noosa recently, and had Pauline 
Scott (Jean Sutton's co author of OFP) presenting on the subject. 
Jan could probably help you contact Pauline, who is in contact with Jean. 


It IS a very interesting 
topic, and I learned a great deal about OFP when I attended Pauline's workshops 
at the conference. Best wishes, Lois


  - Original Message - 
  From: 
  Felicity Cummins 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, October 16, 2002 8:21 
  AM
  Subject: [ozmidwifery] Jean Sutton
  
  Hello List
  
  I am a midwife and interested in Jean Sutton's optimal 
  positioning theory. I would like to e-mail or talk to her, does anyone 
  haveher contact address or phone number?
  
  
  Regards
  Felicity

[ozmidwifery] Re:

[Lois Wattis]

Welcome to the natural high club, Jess!! Here's 
to many more. Love Lois


  - Original Message - 
  From: 
  J 
  Stewart 
  To: ozmid 
  Cc: [EMAIL PROTECTED] 
  
  Sent: Monday, October 14, 2002 3:56 
  PM
  
  
  dear All,
  
  I am happy, stoked, proud, thrilled and woohoo-ed 
  to announce that today saw the arrival of a baby, which coinsided with me 
  assisting at my very first live birth!
  
  i rushed to the hospital at 3am this morning and 
  at 12.40 in the afternoon mr 9.5pounds reared his [HUGE] head!! i 
  cried!
  
  i was able to get really envolved, it was amazing! mum was EXCELLENT! 
  13hrs of labour, strong contractions and using only the gas.however, her 
  dialation seemed to halt around 9cm which was frustrating. but to cut a long 
  story short, the big beautiful head was born then within minutes the even 
  bigger shoulders then he was here! im suprised you didnt all hear me singing 
  and dancing around with joy!
  
  mum and bub are fine, student midwife dancing 
  around the room like a crazy person!
  
  just had to share!
  take care!!
  love [a delirious] 
Jess